Individual
JACQUELINE GERETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19238 STONEBROOK ST, WESTON, FL 33332-2426
(954) 445-9757
Mailing address
19238 STONEBROOK ST, WESTON, FL 33332-2426
(954) 445-9757
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11024898
FL
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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