Killeen, Jacqueline L

Killeen, Jacqueline L is an individual health care provider with primary practice located at 3001 W Hallandale Beach Blvd Suite 200, Hallandale FL 33009-5155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Killeen, Jacqueline L can be contacted via phone (954) 456-4888.

Contact Information

Primary practice address
3001 W Hallandale Beach Blvd Suite 200 Hallandale FL 33009-5155
Phone: (954) 456-4888
Fax: (954) 456-9721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP 3066702 Florida

Profile Details

NPI number 1720381486
LBN Legal business name Killeen, Jacqueline L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2010
Last updated Dec 17th, 2010 - about 14 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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