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JACQUILINE N GREENWALD APRN

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1083008494

Individual Registrant:
 JACQUILINE N GREENWALD APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3434 HANCOCK BRIDGE PKWY STE 309  N FORT MYERS, FL 33903-7099 US
Tel: 855-674-8800  Fax: --

Contact information for business:
2675 WINKLER AVE FL 2  FORT MYERS, FL 33901-9342 US
Tel: 877-856-3774  Fax: 239-599-2612

Registration Information:
NPI: 1083008494
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
FLAPRN9483846

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100277200FL05
201293510IN05




HEALTH CARE JOBS FL - Page 1



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