Individual
JACQUILINE MORGAN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 PATRICIAN DR, NEW PORT RICHEY, FL 34655-5730
(727) 488-7499
(727) 945-0447
Mailing address
9820 PATRICIAN DR, NEW PORT RICHEY, FL 34655-5730
(727) 488-7499
(727) 945-0447
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015754900
—
FL
Enumeration date
12/17/2018
Last updated
01/22/2019
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