Blakeley, Jacqueline N

Blakeley, Jacqueline N is an individual health care provider with primary practice located at 5226 Frontier Dr , Morgan UT 84050-9734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Blakeley, Jacqueline N can be contacted via phone (801) 876-3749.

Contact Information

Primary practice address
5226 Frontier Dr Morgan UT 84050-9734
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4791430-4405 Utah

Profile Details

NPI number 1790134328
LBN Legal business name Blakeley, Jacqueline N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2016
Last updated Jun 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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