Provider Demographics
NPI:1811281835
Name:ARANA, JEANNIE MICHELLE (MD)
Entity type:Individual
Prefix:MISS
First Name:JEANNIE
Middle Name:MICHELLE
Last Name:ARANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-424-2757
Mailing Address - Fax:239-772-0186
Practice Address - Street 1:1435 SE 8TH TER
Practice Address - Street 2:SUITE E
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3289
Practice Address - Country:US
Practice Address - Phone:239-424-2757
Practice Address - Fax:239-772-0186
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119872208D00000X, 207Q00000X
FLME138356208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013507300Medicaid