Individual
JACKLYN LERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6332 US 301 S, RIVERVIEW, FL 33578-3829
(727) 667-4198
Mailing address
6332 US 301 S, RIVERVIEW, FL 33578-3829
(727) 667-4198
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11030759
FL
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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