JANISSE WALESKA WATKINS


Address: 6821 Se 100th Pl, Belleview, FL 34420-9336
Phone: 3528956552

JANISSE WALESKA WATKINS (NPI# 1659983302) 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) 1659983302
Entity Type Individual
Full Name JANISSE WALESKA WATKINS
Credential AGNP-C
Practice Address 6821 Se 100th Pl
Belleview
FL 34420-9336
Practice Telephone 3528956552
Mailing Telephone 3528956552
Enumeration Date 2020-08-22
Last Update Date 2020-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN11008601 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6821 SE 100TH PL
City BELLEVIEW
State FL
Zip Code 34420-9336

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NPI Name Taxonomy Address Enumeration
1881227726 Madison Ruth Oglesby Behavior Technician 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 2020-02-19
1104458496 Patricia A Jackson Behavior Technician 10252 S Hwy 441, Unit 3, Belleview, FL 34420 2020-02-05
1891251781 Pamela M Swiss Behavior Technician 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 2019-02-15
1417412834 Ashlynn Shearer Behavior Technician 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 2019-02-11
1083178313 Sheila Bush Technician 12791 Se 47th Ave, Belleview, FL 34420 2019-01-31
1124579974 Tamara Lopez Diaz, Md. Pa Family Medicine 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 2016-10-17
1780043992 Katelyn Garrett Registered Nurse 11855 Se 74th Terrace, Belleview, FL 34420 2016-02-16
1982092458 Tracy Mattia Pharmacist 11310 Se Us Hwy 301, Belleview, FL 34420 2015-01-06
1245666171 Hayden Lee Durham I Pharmacist 10762 South Us 441, Belleview, FL 34420 2013-09-24
1285060608 Cindy Marlene Merritt Pharmacist 10762 Se Hwy 441, Belleview, FL 34420 2013-09-17
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1710594114 Sumelia Waddell Nurse Practitioner 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 2020-09-29
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Competitor

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City BELLEVIEW
Zip Code 34420

Improve Information

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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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