Individual
JACQUELINE ANN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4150
(941) 782-4104
Mailing address
1091 WATERLINE CT, SARASOTA, FL 34240-2357
(586) 565-0076
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9508148
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11016206
FL
Other
Enumeration date
06/28/2021
Last updated
08/07/2025
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