Individual
MR. JACKIE DALE HATTEN JR.
Active
Individual
MR. JACKIE DALE HATTEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3419772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639607732
EMPLOYER DOSE NOT TAKE INSURANCE
FL
Enumeration date
06/01/2017
Last updated
10/04/2018
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