Iriarte, Jacqueline

Iriarte, Jacqueline is an sole proprietor health care provider with primary practice located at 654 Ne 9Th Pl , Homestead FL 33030-4934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Iriarte, Jacqueline can be contacted via phone (305) 248-3488.

Contact Information

Primary practice address
654 Ne 9Th Pl Homestead FL 33030-4934
Phone: (305) 248-3488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11000213 Florida

Profile Details

NPI number 1528539764
LBN Legal business name Iriarte, Jacqueline
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Mar 3rd, 2021 - about 3 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 1528539764 NPPES
Florida MEDICAID 106569800

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