Jacklyn Stump
Nurse Practitioner - Psychiatric/Mental Health
2020 Main St
Sarasota
, Florida 34237-6022
Jacklyn Stump
Nurse Practitioner - Psychiatric/Mental Health
2020 Main St
Sarasota
, Florida 34237-6022
(941) 264-9488
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Jacklyn Stump
- 8457 Gardens Cir Apt 13
- Sarasota, FL
- Zip : 34243-3079
- Phone : (941) 264-9488
Second Address
- Jacklyn Stump
- 2020 Main St
- Sarasota, FL
- Zip : 34237-6022
- Phone : (941) 861-4601
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN11018024 | FL |
National Provider Identifier
| NPI | 1023775400 |
|---|---|
| Provider Name | Jacklyn Stump |
| First Address | Sarasota, FL 34243-3079 |
| Second Address | Sarasota, FL 34237-6022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2021 |
| Last Update Date | 10/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.