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Individual

MS. KIMBERLY D JASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5460 63RD ST E, STE 200 B, BRADENTON, FL 34203-7808
(941) 316-8200
(941) 316-8199
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2732962
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP2732962
FL

Other

Enumeration date
03/10/2010
Last updated
03/24/2017
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