Cole, Jacqueline Suzanne

Cole, Jacqueline Suzanne is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cole, Jacqueline Suzanne can be contacted via phone (217) 383-2410.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2501
Phone: (217) 383-2410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002409A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007474 Illinois

Profile Details

NPI number 1083818835
LBN Legal business name Cole, Jacqueline Suzanne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Apr 1st, 2024 - about 7 months 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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