Individual
JACQUELINE OOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 7TH ST S, ST PETERSBURG, FL 33701-4708
(727) 893-6234
(727) 553-7422
Mailing address
601 7TH ST S, ST PETERSBURG, FL 33701-4708
(727) 893-6234
(727) 553-7422
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9319063
FL
363L00000X
Nurse Practitioner
11002579
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11002579
FL
Other
Enumeration date
02/20/2018
Last updated
07/07/2023
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