Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jan Kenneth Gonzales, FNP-C

Individual provider Nurse Practitioner · NPI 1043820376

Jan Kenneth Gonzales, FNP-C is a Nurse Practitioner in Lake City, Florida. Qualified in 2020, 6 years ago. Practices with Alex L Gonzales MD PA, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4251 NW American Ln
Lake City, FL 32055-8844
Phone: (386) 758-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11008439 (FL)

Record details

NPI number1043820376
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 2, 2020
Last updated in NPPESAugust 2, 2020
Certification dateAugust 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Alex L Gonzales Md Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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