Individual
MRS. MATILDA JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5153 N 9TH AVE, SUITE 404, PENSACOLA, FL 32504-8785
(850) 416-4970
(850) 416-4969
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-4970
(850) 416-4969
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP 9220087
FL
Other
Enumeration date
04/12/2011
Last updated
01/10/2012
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