Jacquelyn Marie Bard
Nurse Practitioner - Women's Health
4230 Hospital Dr Ste 209
Marianna
, Florida 32446-1955
Jacquelyn Marie Bard
Nurse Practitioner - Women's Health
4230 Hospital Dr Ste 209
Marianna
, Florida 32446-1955
(850) 526-6711
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jacquelyn Marie Bard
- 4250 Hospital Dr
- Marianna, FL
- Zip : 32446-1917
- Phone : (850) 526-6711
Second Address
- Jacquelyn Marie Bard
- 4230 Hospital Dr Ste 209
- Marianna, FL
- Zip : 32446-1955
- Phone : (850) 526-6711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | ARNP9248923 | FL |
National Provider Identifier
| NPI | 1083124150 |
|---|---|
| Provider Name | Jacquelyn Marie Bard |
| First Address | Marianna, FL 32446-1917 |
| Second Address | Marianna, FL 32446-1955 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2017 |
| Last Update Date | 06/01/2020 |
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.