Merrill, Jacquelyn
Merrill, Jacquelyn is an individual health care provider with primary practice located at 5200 Babcock St Ne Ste 103 , Palm Bay FL 32905-4639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Merrill, Jacquelyn can be contacted via phone (321) 312-4796.Contact Information
Primary practice address
5200 Babcock St Ne Ste 103
Palm Bay FL 32905-4639
Phone: (321) 312-4796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | ARNP9282570 | Florida |
Profile Details
| NPI number | 1760996086 |
|---|---|
| LBN Legal business name | Merrill, Jacquelyn |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2017 |
| Last updated | Nov 22nd, 2017 - about 8 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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