Skip Navigation

Provider Information for 1922497155

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JAN LORRAINE C DAVID APRN

Other Name:   JAN LORRAINE CHUA
Gender: FEMALE

Individual NPI: 1922497155

Calendar   Last Updated:  2021-07-28
  Certification Date:  2021-07-28

Details

Name Value
NPI 1922497155
Enumeration Date 2015-01-12
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1905 W BUSCH BLVD
TAMPA, FL 33612-7675
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 1905 W BUSCH BLVD
TAMPA, FL 33612-7675
United States

Phone: 813-365-6525 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL ARNP9269204