Portnoy, Pamela Suzanne Jacks

Portnoy, Pamela Suzanne Jacks is an individual health care provider with primary practice located at 1196 Curtis St , Albany CA 94706-2421. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Portnoy, Pamela Suzanne Jacks can be contacted via phone (510) 558-1391.

Contact Information

Primary practice address
1196 Curtis St Albany CA 94706-2421
Phone: (510) 558-1391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 766010 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21608 California

Profile Details

NPI number 1841562733
LBN Legal business name Portnoy, Pamela Suzanne Jacks
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2012
Last updated Feb 7th, 2012 - about 13 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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