Provider Demographics
NPI:1932245123
Name:MUSICK, JANICE (RN)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:MUSICK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:WLODARCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 S MAIN ST
Mailing Address - Street 2:ATTN HR-PROVIDER ENROLLMENT
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-3320
Mailing Address - Country:US
Mailing Address - Phone:352-540-6800
Mailing Address - Fax:352-754-4088
Practice Address - Street 1:7465 FOREST OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-2449
Practice Address - Country:US
Practice Address - Phone:352-540-6800
Practice Address - Fax:352-754-4088
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9201397163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse