Long, Jacqueline A.

Long, Jacqueline A. is an individual health care provider with primary practice located at 311 West Fairchild Street , Danville IL 61837-3876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Jacqueline A. can be contacted via phone (217) 431-7700.

Contact Information

Primary practice address
311 West Fairchild Street Danville IL 61837-3876
Phone: (217) 431-7700
Fax: (217) 431-7850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009428 Illinois

Profile Details

NPI number 1578837670
LBN Legal business name Long, Jacqueline A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2012
Last updated Jan 23rd, 2015 - about 9 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

Popular Providers