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Individual

JACLYN JARDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 3RD AVE N STE 400, ST PETERSBURG, FL 33701-3899
(727) 241-5504
Mailing address
333 3RD AVE N STE 400, ST PETERSBURG, FL 33701-3899
(727) 241-5504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9452880
FL
363L00000X
Nurse Practitioner
Primary
11006926
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11006926
FL

Other

Enumeration date
02/14/2020
Last updated
07/10/2023
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