Edwards, Jacqueline K

Edwards, Jacqueline K is an individual health care provider with primary practice located at 16505 W National Ave , New Berlin WI 53151-5513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Edwards, Jacqueline K can be contacted via phone (262) 641-2300.

Contact Information

Primary practice address
16505 W National Ave New Berlin WI 53151-5513
Fax: (262) 641-2311
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2750-23 Wisconsin

Profile Details

NPI number 1225322126
LBN Legal business name Edwards, Jacqueline K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2011
Last updated Dec 14th, 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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