Individual
JACQUELINE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 CHARING ST, JACKSONVILLE, FL 32216-6110
(904) 674-0022
Mailing address
926 E COAST DR, ATLANTIC BEACH, FL 32233-5426
(904) 910-0014
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
11042190
FL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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