Jacks, Denise

Jacks, Denise is an individual health care provider with primary practice located at 1301 2Nd Ave Sw , Largo FL 33770-3120. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jacks, Denise can be contacted via phone (727) 581-8767.

Contact Information

Primary practice address
1301 2Nd Ave Sw Largo FL 33770-3120
Phone: (727) 581-8767
Fax: (727) 581-3727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3017972 Florida

Profile Details

NPI number 1104136738
LBN Legal business name Jacks, Denise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2010
Last updated Jul 30th, 2014 - about 10 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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