Plummer, Jacqueline D

Plummer, Jacqueline D is an individual health care provider with primary practice located at 300 E Hospital Road Ddeamc, Family Practice Clinic, 2Nd Floor, Fort Gordon GA 30905-5650. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Plummer, Jacqueline D can be contacted via phone (706) 787-2927.

Contact Information

Primary practice address
300 E Hospital Road Ddeamc, Family Practice Clinic, 2Nd Floor Fort Gordon GA 30905-5650
Fax: (706) 787-9356
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 125337 North Carolina

Profile Details

NPI number 1538581590
LBN Legal business name Plummer, Jacqueline D
Credentials BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2014
Last updated Jan 10th, 2014 - about 10 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 1538581590 NPPES
North Carolina Other 125337 NURSE LICENSURE

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