Jackie Floyd Hagenbaumer
Nurse Anesthetist, Certified Registered in Jacksonville, FL. Individual provider (NPI-1).
NPI number1710691274
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1710691274
- Entity type
- Individual (NPI-1)
- Name
- Jackie Floyd Hagenbaumer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2023
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11023863 | FL | Yes |
Practice location
655 W 8th StJacksonville, FL 32209-6511
Phone 904-244-0411
Mailing address
9479 Heckscher DrJacksonville, FL 32226-2420
Phone 352-214-4761
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All 411 Certified Registered Nurse Anesthetist providers in Jacksonville · All 31,644 providers in Jacksonville
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