Jacques, Rebecca A

Jacques, Rebecca A is an individual health care provider with primary practice located at 10 Members Way Suite 203, Dover NH 03820-5933. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jacques, Rebecca A can be contacted via phone (603) 609-6930.

Contact Information

Primary practice address
10 Members Way Suite 203 Dover NH 03820-5933
Phone: (603) 609-6930
Fax: (603) 609-6931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 042429-23 New Hampshire

Profile Details

NPI number 1255387882
LBN Legal business name Jacques, Rebecca A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 25th, 2015 - about 10 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 1255387882 NPPES
New Hampshire MEDICAID 3075764

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