Diaz, Jaclyn Marie
Diaz, Jaclyn Marie is an sole proprietor health care provider with primary practice located at 3916 Sandalwood Dr , Land O Lakes FL 34639-5572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Diaz, Jaclyn Marie can be contacted via phone (813) 758-5158.Contact Information
Primary practice address
3916 Sandalwood Dr
Land O Lakes FL 34639-5572
Phone: (813) 758-5158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN11011295 | Florida |
Profile Details
| NPI number | 1467035089 |
|---|---|
| LBN Legal business name | Diaz, Jaclyn Marie |
| Credentials | MSN,APRN,AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2021 |
| Last updated | May 2nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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