Organization
HYDRATION HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA JACKSON APRN (OWNER)
(786) 290-5415
Entity
Organization
Contact information
Practice address
5600 NW 57TH WAY, TAMARAC, FL 33319-2420
(786) 290-5415
Mailing address
5600 NW 57TH WAY, TAMARAC, FL 33319-2420
(786) 290-5415
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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