Provider Demographics
NPI:1962033266
Name:KROLEWSKI, JANE I COMISKEY (APRN)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:I COMISKEY
Last Name:KROLEWSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 E KENT ST
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-9105
Mailing Address - Country:US
Mailing Address - Phone:352-726-9579
Mailing Address - Fax:
Practice Address - Street 1:840 S BEA AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-3603
Practice Address - Country:US
Practice Address - Phone:352-637-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily