Individual
JACQUELINE VICTORIA LOPEZ SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 W 47TH ST, HIALEAH, FL 33012-3957
(786) 608-5805
Mailing address
281 W 47TH ST, HIALEAH, FL 33012-3957
(786) 608-5805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9415415
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN941545
FL
Other
Enumeration date
07/13/2018
Last updated
07/11/2025
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