Provider Demographics
NPI:1912504309
Name:CAINES, JANNA TORUNO (APRN)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:TORUNO
Last Name:CAINES
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 1:155 SE 6TH PL
Mailing Address - Street 2:
Mailing Address - City:LAKE BUTLER
Mailing Address - State:FL
Mailing Address - Zip Code:32054-2213
Mailing Address - Country:US
Mailing Address - Phone:386-496-1236
Mailing Address - Fax:
Practice Address - Street 1:155 SE 6TH PL
Practice Address - Street 2:
Practice Address - City:LAKE BUTLER
Practice Address - State:FL
Practice Address - Zip Code:32054-2213
Practice Address - Country:US
Practice Address - Phone:386-496-1236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily