Individual provider · Type 1 NPI

Jacqueline Terra-Goncalves

Family Nurse Practitioner · Pembroke Pines, FL

NPI number 1174984520 Active

Practice location

222 S Flamingo Rd
Pembroke Pines, FL 33027-1721

Mailing address

20905 Boca Ridge Dr S
Boca Raton, FL 33428-1509

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XARNP9356655 (FL)
Family Nurse Practitioner Primary 363LF0000XARNP9356655 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1174984520

Jacqueline Terra-Goncalves's National Provider Identifier is 1174984520, issued on Mar 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Mar 13, 2016.