Provider Demographics
NPI:1487690319
Name:DUDA, JANET MARILYN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARILYN
Last Name:DUDA
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:6817 SOUTHPOINT PKWY
Mailing Address - Street 2:BUILDING 23, SUITE 2303
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6282
Mailing Address - Country:US
Mailing Address - Phone:904-332-7431
Mailing Address - Fax:904-742-3408
Practice Address - Street 1:6817 SOUTHPOINT PKWY
Practice Address - Street 2:BUILDING 23, SUITE 2303
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6282
Practice Address - Country:US
Practice Address - Phone:904-332-7431
Practice Address - Fax:904-742-3408
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2186862363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health