Close, Jacqueline Fitzgerald

Close, Jacqueline Fitzgerald is an individual health care provider with primary practice located at 11188 Carlota St , San Diego CA 92129-1212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Close, Jacqueline Fitzgerald can be contacted via phone (858) 775-3154.

Contact Information

Primary practice address
11188 Carlota St San Diego CA 92129-1212
Phone: (858) 775-3154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 2385 California

Profile Details

NPI number 1780212993
LBN Legal business name Close, Jacqueline Fitzgerald
Credentials GCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Apr 1st, 2020 - about 5 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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