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1194560730
JACLYN CHAMPNELLA
TAMPA, FL
NPI
1194560730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL 11031786)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
JACLYN CHAMPNELLA MSN, RN, CPNP-PC
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4799
Phone number: 813-974-2191
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Mailing Address
JACLYN CHAMPNELLA MSN, RN, CPNP-PC
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4799
Phone number:
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