Individual
JACLYN GRZYBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 W SWANN AVE, SUITE 600, TAMPA, FL 33609-4039
(813) 876-7073
Mailing address
2605 W SWANN AVE, SUITE 600, TAMPA, FL 33609-4039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9248140
FL
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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