DENISE JACKS, ARNP

Nurse Practitioner - Adult Health

Active Individual
NPI: 1104136738

Practice Address

3691 CLYDE MORRIS BLVD
Port Orange, FL 32129

Phone: (386) 675-4411

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X Yes 3017972 (FL)

Frequently Asked Questions

NPI 1104136738 is the National Provider Identifier for DENISE JACKS, ARNP, a Nurse Practitioner - Adult Health provider located in Port Orange, FL. This NPI was enumerated on October 17, 2010.
DENISE JACKS, ARNP practices at 3691 CLYDE MORRIS BLVD, Port Orange, FL 32129.

Quick Facts

NPI
1104136738
Type
Individual
Enumerated
Oct 17, 2010
Last Updated
Jan 16, 2025

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