Jacque, Ellen Elizabeth

Jacque, Ellen Elizabeth is an individual health care provider with primary practice located at 312 9Th St Sw , Waverly IA 50677-2999. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacque, Ellen Elizabeth can be contacted via phone (319) 352-4120.

Contact Information

Primary practice address
312 9Th St Sw Waverly IA 50677-2999
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A157621 Iowa

Profile Details

NPI number 1285264630
LBN Legal business name Jacque, Ellen Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2020
Last updated Jan 23rd, 2020 - about 4 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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