Individual
JACKELIN HERNANDEZ SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 TOUCHTON RD APT 815, JACKSONVILLE, FL 32246-8291
(732) 930-9574
Mailing address
138 COLONIAL DR, LAKEWOOD, NJ 08701-5850
(732) 930-9574
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
16-612
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
11025588
FL
Other
Enumeration date
12/19/2016
Last updated
04/25/2023
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