James, Jacqueline J

James, Jacqueline J is an individual health care provider with primary practice located at 3000 Old Centre Road Southwest Michigan Dermatology, A Division Of Paragon H, Portage MI 49024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. James, Jacqueline J can be contacted via phone (269) 321-7546.

Contact Information

Primary practice address
3000 Old Centre Road Southwest Michigan Dermatology, A Division Of Paragon H Portage MI 49024
Phone: (269) 321-7546
Fax: (269) 321-1705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601005156 Michigan

Profile Details

NPI number 1609069566
LBN Legal business name James, Jacqueline J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Sep 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609069566 NPPES
Michigan MEDICAID 1609069566

Popular Providers