NPI | 1548929334 |
---|---|
Doing Business As | JARDINE WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | JACLYN JARDINE Provider 727-241-5504 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-12-09 |
Last Update Date | 2023-07-10 |