Individual provider · Type 1 NPI

Jan Kenneth Gonzales, FNP-C

Nurse Practitioner · Lake City, FL

NPI number 1043820376 Active

Practice location

4251 NW American Ln
Lake City, FL 32055-8844

Call (386) 758-6143 Map

Mailing address

4245 Metron Dr
Jacksonville, FL 32216-1012

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11008439 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043820376

Jan Kenneth Gonzales, FNP-C's National Provider Identifier is 1043820376, issued on Aug 2, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake City, FL. The record was last updated on Aug 2, 2020.