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NPI Code Detail

MEDICARE: DEBRA JEAKLE ARNP

MEDICARE: DEBRA JEAKLE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP2568812FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245292739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA JEAKLE ARNP
Provider Business Mailing Address
First Line : 38135 MARKET SQ
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-7505
Country : US
Telephone Number : 813-528-4975
Fax Number :
Provider Business Practice Location Address
First Line : 10004 N DALE MABRY HWY STE 101
Second Line :
City : TAMPA
State : FL
Zip : 33618-4421
Country : US
Telephone Number : 813-931-3999
Fax Number : 813-377-1391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 10/01/2018

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