Healthcare Provider Details

I. General information

NPI: 1619903275
Provider Name (Legal Business Name): JACQUELINE M. SAEGER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 7TH ST S
ST PETERSBURG FL
33701-4704
US

IV. Provider business mailing address

601 7TH ST S
ST PETERSBURG FL
33701-4704
US

V. Phone/Fax

Practice location:
  • Phone: 727-824-8270
  • Fax: 727-824-7143
Mailing address:
  • Phone: 727-824-8270
  • Fax: 727-824-7143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP935152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: