Nadeau-Deckert, Jacynthe R

Nadeau-Deckert, Jacynthe R is an individual health care provider with primary practice located at 1115 Boulders Pkwy Suite 100, North Chesterfield VA 23225-4067. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nadeau-Deckert, Jacynthe R can be contacted via phone (804) 320-1339.

Contact Information

Primary practice address
1115 Boulders Pkwy Suite 100 North Chesterfield VA 23225-4067
Phone: (804) 320-1339
Fax: (804) 330-5829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0017000695 Virginia

Profile Details

NPI number 1861437220
LBN Legal business name Nadeau-Deckert, Jacynthe R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jan 29th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861437220 NPPES
Virginia MEDICAID 1861437220

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