Search › Florida › 363A00000X
Jaclyn Rieben, PA-C
NPI 1972573988 · on the registry since 2006
Practice
- Address
- 82 Mack Bayou Loop
Santa Rosa Beach, FL 32459 - Phone
- (850) 233-3376
- Fax
- (850) 522-8354
- Organisation at this address
- Mack Bayou Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 3 Racetrack Rd Ne, Fort Walton Beach, FL
- 12907 Panama City Beach Pkwy, Panama City Beach, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-04
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