Individual
JACQUELINE HOSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
205 E NASA BLVD FL 2, MELBOURNE, FL 32901-1950
(321) 361-5623
(321) 723-9176
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005851
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11005851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108176200
—
FL
01
—
M3394
MEDICARE
FL
Enumeration date
05/24/2017
Last updated
01/10/2022
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