Individual
MRS. JACQUELINE L KILLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Mailing address
3001 W HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP 3066702
FL
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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