Individual
JAMZIE DARLENE FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
2500 NW 29TH MNR, POMPANO BEACH, FL 33069-1031
(312) 512-9130
Mailing address
2500 NW 29TH MNR, POMPANO BEACH, FL 33069-1031
(312) 512-9130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9204412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9204412
STATE OF FL DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
03/29/2016
Last updated
03/29/2016
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