Garcia, Jacquelyn

Garcia, Jacquelyn is an individual health care provider with primary practice located at 110 Averill Ln , Irmo SC 29063-8777. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Garcia, Jacquelyn can be contacted via phone (786) 274-2543.

Contact Information

Primary practice address
110 Averill Ln Irmo SC 29063-8777
Phone: (786) 274-2543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X GAA-NP002412 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 202415702 South Carolina

Profile Details

NPI number 1871330134
LBN Legal business name Garcia, Jacquelyn
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2024
Last updated Jul 12th, 2024 - about 5 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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