Individual provider · Type 1 NPI

Jacqueline B. Staal, ARNP

Family Nurse Practitioner · Fort Myers, FL

NPI number 1073794574 Active

Practice location

8595 College Pkwy, Suite 250
Fort Myers, FL 33919-5191

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN 9204631 (FL)
Family Nurse Practitioner Primary 363LF0000XARNP 9204631 (FL)

Family Nurse Practitioner: Definition to come...

18 other providers at this address

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About NPI 1073794574

Jacqueline B. Staal, ARNP's National Provider Identifier is 1073794574, issued on Nov 26, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Myers, FL. The record was last updated on Dec 26, 2011.