Individual
JENNY ANN BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1200 RIVERPLACE BLVD, STE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Mailing address
1200 RIVERPLACE BLVD, STE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9168069
FL
Other
Enumeration date
02/04/2008
Last updated
12/08/2014
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