Individual
JACLYN M HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
128 ALEXANDRIA CIR, DELAND, FL 32724-7075
(989) 701-0022
Mailing address
128 ALEXANDRIA CIR, DELAND, FL 32724-7075
(989) 701-0022
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704311381
MI
363LA2100X
Acute Care Nurse Practitioner
APRN11028349
FL
363LA2200X
Adult Health Nurse Practitioner
4704311381
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11028349
FL
363LG0600X
Gerontology Nurse Practitioner
4704311381
MI
363LG0600X
Gerontology Nurse Practitioner
APRN11028349
FL
Other
Enumeration date
02/02/2022
Last updated
09/17/2024
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