Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Jardine

Individual provider Registered Nurse · NPI 1245863562

Jaclyn Jardine is a Registered Nurse in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
3

Practice location Address checks out

333 3rd Ave N Ste 400
St Petersburg, FL 33701-3899
Phone: (727) 241-5504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11006926 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9452880 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN11006926 (FL)

Record details

NPI number1245863562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2020
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address333 3rd Ave N Ste 400, St Petersburg, FL 33701-3899

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