Medeiros, Jacqueline

Medeiros, Jacqueline is an individual health care provider with primary practice located at 2150 Main St , Springfield MA 01104-3566. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Medeiros, Jacqueline can be contacted via phone (413) 733-0010.

Contact Information

Primary practice address
2150 Main St Springfield MA 01104-3566
Phone: (413) 733-0010
Fax: (413) 930-2108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 119372 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002624 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 119372 Massachusetts

Profile Details

NPI number 1457342982
LBN Legal business name Medeiros, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Mar 13th, 2019 - about 5 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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