Provider Demographics
NPI:1104151083
Name:GYSI ARNP SERVICES PLLC
Entity type:Organization
Organization Name:GYSI ARNP SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GYSI
Authorized Official - Suffix:
Authorized Official - Credentials:ARNPC
Authorized Official - Phone:850-819-2748
Mailing Address - Street 1:120 SANDALWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-2667
Mailing Address - Country:US
Mailing Address - Phone:850-819-2748
Mailing Address - Fax:
Practice Address - Street 1:120 SANDALWOOD LN
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-2667
Practice Address - Country:US
Practice Address - Phone:850-819-2748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3379702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty