Individual provider · Type 1 NPI

Gardine Jacques, ARNP

Psychiatric/Mental Health Nurse Practitioner · Orlando, FL

NPI number 1720357023 Active

Practice location

7727 Lake Underhill Rd, Glycemic Managment Office
Orlando, FL 32822-8224

Mailing address

2415 N Orange Ave Ste 501, Florida Hospital Glycemic Management
Orlando, FL 32804-5505

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XARNP9205667 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN9205667 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1720357023

Gardine Jacques, ARNP's National Provider Identifier is 1720357023, issued on Dec 15, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orlando, FL. The record was last updated on Apr 16, 2024.