Provider Demographics
NPI:1992471874
Name:TOUCHTON, JANICE COLLEEN (MSN, FNP-C, ENP-C)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:COLLEEN
Last Name:TOUCHTON
Suffix:
Gender:F
Credentials:MSN, FNP-C, ENP-C
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:COLLEEN
Other - Last Name:GOWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4210 TANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583-2823
Mailing Address - Country:US
Mailing Address - Phone:850-566-3000
Mailing Address - Fax:
Practice Address - Street 1:8383 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6039
Practice Address - Country:US
Practice Address - Phone:850-494-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11011848363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner