Gayle-Nicholson, Jacqueline

Gayle-Nicholson, Jacqueline is an individual health care provider with primary practice located at 2800 S Seacrest Blvd Suite 220, Boynton Beach FL 33435-7960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gayle-Nicholson, Jacqueline can be contacted via phone (561) 742-3929.

Contact Information

Primary practice address
2800 S Seacrest Blvd Suite 220 Boynton Beach FL 33435-7960
Phone: (561) 742-3929
Fax: (561) 742-3931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2514592 Florida

Profile Details

NPI number 1679697882
LBN Legal business name Gayle-Nicholson, Jacqueline
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jun 27th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679697882 NPPES
Florida MEDICAID 300715400
Florida Other Y0881

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