| NPI | 1477966711 |
|---|---|
| Other Name | JACLYN RIVEROL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9303604) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ARNP9303604) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: FL ARNP9303604) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ARNP9303604) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ARNP9303604) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9303604) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9303604) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9303604) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |