Individual
JENNIFER RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, CPNP-AC
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0665
(352) 265-0057
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0665
(352) 265-0057
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9231986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012343900
—
FL
Enumeration date
06/30/2014
Last updated
10/09/2014
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