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Individual
JACQUELINE SUZANNE HASBROUCK
Active
Individual
JACQUELINE SUZANNE HASBROUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
SP028224
PA
363LA2100X
Acute Care Nurse Practitioner
SP028224
PA
Other
Enumeration date
11/13/2023
Last updated
11/05/2025
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