Healthcare Provider Details

I. General information

NPI: 1407650658
Provider Name (Legal Business Name): JACQUELINE SZYDLOWSKI MSN,FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11115 COUNTY LINE RD
SPRING HILL FL
34609-5615
US

IV. Provider business mailing address

7720 JOMEL DR
WEEKI WACHEE FL
34607-2022
US

V. Phone/Fax

Practice location:
  • Phone: 352-683-1982
  • Fax:
Mailing address:
  • Phone: 352-585-3833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11038615
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: