License Verification

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NICOLE BEALL JAQUES

License Number: ME132121

Data As Of 5/31/2024

Profession
Medical Doctor
License
ME132121
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
04/17/2017
Address of Record
611 Zeagler Drive
PALATKA, FL 32177
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
JOHNSON, ROBERT E Prescribing Physician Assistant Physician Assistant 9102838 1/1/2023
KIRKLAND, ANDREW Prescribing Physician Assistant Physician Assistant 9111019 3/27/2018
MOHNEY, CYNTHIA SUZANNE Prescribing Physician Assistant Physician Assistant 9105466 1/1/2023
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 4/24/2018
SLOAN, ERIN C Prescribing Physician Assistant Physician Assistant 9101118 1/1/2023
WRIGHT, JEREMY MICHAEL Prescribing Physician Assistant Physician Assistant 9108266 1/1/2023

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 5/31/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.