JACLYN MARIE DIAZ

TAMPA, FL
NPI1467035089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11011295)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  APRN11011295)
Enumeration Date2021-05-02
Last Update Date2025-02-03
Business Address
JACLYN MARIE DIAZ MSN,APRN,AGNP-C
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-7365
Mailing Address
JACLYN MARIE DIAZ MSN,APRN,AGNP-C
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-7365