Jardine, Jaclyn

Jardine, Jaclyn is an individual health care provider with primary practice located at 333 3Rd Ave N Ste 400 , St Petersburg FL 33701-3899. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jardine, Jaclyn can be contacted via phone (727) 241-5504.

Contact Information

Primary practice address
333 3Rd Ave N Ste 400 St Petersburg FL 33701-3899
Phone: (727) 241-5504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9452880 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11006926 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11006926 Florida

Profile Details

NPI number 1245863562
LBN Legal business name Jardine, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2020
Last updated Jul 10th, 2023 - about 3 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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