Provider Demographics
NPI:1427061951
Name:GRINER, JANE PIERCE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:PIERCE
Last Name:GRINER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:JANE
Other - Last Name:GRINER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:11901 NW 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-6515
Mailing Address - Country:US
Mailing Address - Phone:352-374-6016
Mailing Address - Fax:352-271-4575
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:RS111
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-374-6016
Practice Address - Fax:352-271-4575
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL871962363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health