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Jaqueline
Jaqueline
Blackmon
Registered nurse
Psychiatric/mental health
Ruskin, United States
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Profile Summary
Full name
Jaqueline Blackmon
Job Title
Registered Nurse
Company Name
HCA Florida Brandon Hospital
Florida Health Care Practitioner Data Portal
Full name
Jaqueline Blackmon
Job Title
Advanced Practice Registered Nurse
Location
Ruskin, FL, USA
LIC ID
662779
Current License Expiration Date
31/07/2024
Original Date
31/01/2023
Professional Rank Code
APRN
Effective Date
31/01/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
1610 Climbing Dayflower Drive
Practice Location Address City
RUSKIN
Practice Location Address State
FL
Practice Location Address Zipcode
33570
Mode Code
Nurse Practitioner, Psychiatric Nurse
Prescribing Indicator
Y
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