Individual provider · Type 1 NPI
Jacqulyn Yackel
Psychiatric/Mental Health Nurse Practitioner · Clearwater, FL
NPI number
1407204704
Active
Practice location
2960 Roosevelt Blvd
Clearwater, FL 33760-1952
Fax (727) 322-2110
Mailing address
PO Box 10970
St. Petersburg, FL 33733-0970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | ARNP9236546 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407204704
Jacqulyn Yackel's National Provider Identifier is 1407204704, issued on May 26, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clearwater, FL. The record was last updated on May 26, 2016.