Fuentes Camacho, Jacqueline

Fuentes Camacho, Jacqueline is an individual health care provider with primary practice located at 2451 S Avenue A Ste A104 , Yuma AZ 85364-7189. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fuentes Camacho, Jacqueline can be contacted via phone (928) 336-2165.

Contact Information

Primary practice address
2451 S Avenue A Ste A104 Yuma AZ 85364-7189
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN208944 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 305501 Arizona

Profile Details

NPI number 1639781958
LBN Legal business name Fuentes Camacho, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2020
Last updated Apr 4th, 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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