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Individual

JACQUELINE D HASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4812 S 109TH EAST AVE STE 101, TULSA, OK 74146-5829
(918) 748-3103
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(619) 997-4786

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209161
OK
363LF0000X
Family Nurse Practitioner
95011247
CA

Other

Enumeration date
03/30/2019
Last updated
12/10/2024
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