JANET M FARRELLY


Address: 242 Basque Rd, St Augustine, FL 32080-7303
Phone: 8453956671

JANET M FARRELLY (NPI# 1174099550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174099550
Entity Type Individual
Full Name JANET M FARRELLY
Practice Address 242 Basque Rd
St Augustine
FL 32080-7303
Practice Telephone 8453956671
Mailing Telephone 1845395667
Enumeration Date 2018-10-23
Last Update Date 2018-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
9494357 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 242 BASQUE RD
City ST AUGUSTINE
State FL
Zip Code 32080-7303

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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1689096943 Yuneisy Ruiz Clinical Nurse Specialist 15542 Sw 8th Ln, Miami, FL 33194-2477 2014-01-06
1821419888 Susan Hartsfield Clinical Nurse Specialist 2235 Lakeshore Dr, Mount Dora, FL 32757-4707 2013-12-18
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Competitor

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City ST AUGUSTINE
Zip Code 32080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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