Individual
MRS. JANE M BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10152 N ROUSSEAU DR, DUNNELLON, FL 34433-2559
(352) 795-6955
Mailing address
10152 N ROUSSEAU DR, DUNNELLON, FL 34433-2559
(352) 795-6955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN946682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN946682
LICENSE NUMBER
FL
Enumeration date
05/18/2007
Last updated
07/09/2007
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