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Individual

JACQUELYN MARIE BARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4230 HOSPITAL DR STE 209, MARIANNA, FL 32446-1955
(850) 526-6711
Mailing address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-6711

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9248923
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9248923
FL

Other

Enumeration date
10/03/2017
Last updated
01/23/2023
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