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Mr. Jackie Dale Hatten JR., ARNP
Adult Health Nurse Practitioner in Tampa, Florida
NPI 1639607732

Jackie Dale Hatten JR. is an Adult Health Nurse Practitioner based in Tampa, FL and is specialized in Adult Health. Jackie Dale Hatten JR. practices in Tampa, FL and has the professional credentials of ARNP. The NPI Number for Jackie Dale Hatten JR. is 1639607732 and holds a License No. ARNP3419772 (Florida).

The current practice location address for Jackie Dale Hatten JR. is 500 N West Shore Blvd Ste 635, Tampa, FL and can be reached out via phone at 813-513-9493 and via fax at 904-562-3317.

Location: 500 N West Shore Blvd Ste 635, Tampa, FL, 33609-1910
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Provider Profile Details
NPI Number
1639607732
Provider Name
Jackie Dale Hatten JR.
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
500 N West Shore Blvd Ste 635, Tampa, FL, 33609-1910
Phone Number
813-513-9493
Fax Number
904-562-3317
Provider Enumeration Date
06/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639607732 01 FL EMPLOYER DOSE NOT TAKE INSURANCE
institution
Provider Business Practice Location Address Details
Address
500 N West Shore Blvd Ste 635
City
State
Zip
33609-1910
Phone Number
813-513-9493
Fax Number
904-562-3317
person
Provider Business Mailing Address Details
Address
500 N West Shore Blvd Ste 635
City
State
Zip
33609-1910
Phone Number
813-513-9493
Fax Number
904-562-3317
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
ARNP3419772 (Florida)
Definition
Definition to come...
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