Individual
MS. JACQUELINE SUZETTE OLADIPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
985 SR 436, CASSELBERRY, FL 32707-5664
(407) 831-5252
Mailing address
985 SR 436, CASSELBERRY, FL 32707-5664
(407) 831-5252
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3421292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009187700
—
FL
01
—
ARNP3421292
LICENSE
FL
Enumeration date
08/17/2012
Last updated
08/13/2013
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