Caldwell, Jacqueline Kelly
Caldwell, Jacqueline Kelly is an individual health care provider with primary practice located at 1061 Harmon Ave Attn: Tfcmc Suite 1Do3, Ft Stewart GA 31314-5604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Caldwell, Jacqueline Kelly can be contacted via phone (912) 435-5595.Contact Information
Primary practice address
1061 Harmon Ave Attn: Tfcmc Suite 1Do3
Ft Stewart GA 31314-5604
Phone: (912) 435-5595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1992795439 |
|---|---|
| LBN Legal business name | Caldwell, Jacqueline Kelly |
| Credentials | PA-C, MPAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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