Individual
JACOB TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3161 BELLFLOWER WAY, LAKELAND, FL 33811-3033
(863) 409-4802
Mailing address
3161 BELLFLOWER WAY, LAKELAND, FL 33811-3033
(863) 409-4802
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9259362
FL
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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