JACKIE DALE HATTEN

TAMPA, FL
NPI1639607732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  ARNP3419772)
Enumeration Date2017-06-01
Last Update Date2018-10-04
Business Address
Mr. JACKIE DALE HATTEN ARNP
500 N WEST SHORE BLVD STE 635
TAMPA, FL 33609-1910
Phone number: 813-513-9493
Mailing Address
Mr. JACKIE DALE HATTEN ARNP
500 N WEST SHORE BLVD STE 635
TAMPA, FL 33609-1910
Phone number: 813-513-9493
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