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Denise Jacks, ARNP
NPI 1104136738 · on the registry since 2010
Practice
- Address
- 3691 Clyde Morris Blvd
Port Orange, FL 32129 - Phone
- (386) 675-4411
- Fax
- (866) 542-5859
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida