Chandler, Jacqueline

Chandler, Jacqueline is an individual health care provider with primary practice located at 1542 S Bloomington St , Greencastle IN 46135-2212. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Chandler, Jacqueline can be contacted via phone (765) 655-2538.

Contact Information

Primary practice address
1542 S Bloomington St Greencastle IN 46135-2212
Phone: (765) 655-2538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28207298A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006910A Indiana

Profile Details

NPI number 1689111478
LBN Legal business name Chandler, Jacqueline
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2017
Last updated Sep 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689111478 NPPES
Indiana MEDICAID 300005412

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