Oladipo, Jacqueline Suzette

Oladipo, Jacqueline Suzette is an sole proprietor health care provider with primary practice located at 985 Sr 436 , Casselberry FL 32707-5664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Oladipo, Jacqueline Suzette can be contacted via phone (407) 831-5252.

Contact Information

Primary practice address
985 Sr 436 Casselberry FL 32707-5664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3421292 Florida

Profile Details

NPI number 1487902763
LBN Legal business name Oladipo, Jacqueline Suzette
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2012
Last updated Aug 13th, 2013 - about 11 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 1487902763 NPPES
Florida MEDICAID 009187700
Florida Other ARNP3421292

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