Individual
MS. JACQUELINE SOPHIA PANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6230 SW 25TH ST, MIRAMAR, FL 33023-2826
(305) 710-3011
Mailing address
6230 SW 25TH ST, MIRAMAR, FL 33023-2826
(305) 710-3011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9231265
FL
Other
Enumeration date
07/18/2018
Last updated
05/30/2024
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