Provider Demographics
NPI:1962672485
Name:CAPACI, JANETTE M (APRN)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:M
Last Name:CAPACI
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 1:5608 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2728
Mailing Address - Country:US
Mailing Address - Phone:803-957-5322
Mailing Address - Fax:
Practice Address - Street 1:5608 SUNSET BLVD
Practice Address - Street 2:CVS/MINUTE CLINIC LEXINGTON #7334
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2728
Practice Address - Country:US
Practice Address - Phone:803-957-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3067902363L00000X
SC17541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00796368OtherRAILROAD MEDICARE
FLY01WLOtherBCBS FL
FLY01WLOtherBCBS FL
FLP00796368OtherRAILROAD MEDICARE