Active NPI
Jane Sander, ARNP
- Community Health Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1558653907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- ARNP1071492
- Practice address
- 611 E Adams St
Jacksonville, FL 32202-2847 - Phone
- (904) 394-8056
- Fax
- (904) 359-0926
- NPI assigned
- May 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | ARNP1071492 | FL | Primary |
Addresses
Primary practice location
611 E Adams St
Jacksonville, FL 32202-2847
Mailing address
611 E Adams St
Jacksonville, FL 32202-2847
Phone (904) 394-8056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1071492 | FL | MD | Community Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1558653907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 E ADAMS ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322022847",
"telephone_number": "904-394-8056",
"fax_number": "904-359-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E ADAMS ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322022847",
"telephone_number": "904-394-8056",
"fax_number": "904-359-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDER",
"first_name": "JANE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "FL",
"license": "ARNP1071492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.