Individual
GABRIELLA JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,PMHNP-BC
Contact information
Practice address
300 SE 2ND ST STE 600, FORT LAUDERDALE, FL 33301-1950
(855) 492-5336
Mailing address
300 SE 2ND ST STE 600, FORT LAUDERDALE, FL 33301-1950
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11043205
FL
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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