Individual
MS. JACQUELINE JEANNE MASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1550 N MIAMI AVE, MIAMI, FL 33136-2015
(305) 329-3021
Mailing address
1550 N MIAMI AVE, MIAMI, FL 33136-2015
(305) 329-3021
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1679622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305626100
—
FL
Enumeration date
02/23/2006
Last updated
01/15/2009
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