Showalter-Etsitty, Jacquelynn Y

Showalter-Etsitty, Jacquelynn Y is an individual health care provider with primary practice located at Hwy 160/163 Building Ka 2010 , Kayenta AZ 86033-0368. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency. Nursing Service Providers / Registered Nurse is her primary health care specialty. Showalter-Etsitty, Jacquelynn Y can be contacted via phone (928) 697-4000.

Contact Information

Primary practice address
Hwy 160/163 Building Ka 2010 Kayenta AZ 86033-0368
Phone: (928) 697-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 162,593 Arizona
Nursing Service Providers / Emergency 163WE0003X RN 162,593 Arizona

Profile Details

NPI number 1922346527
LBN Legal business name Showalter-Etsitty, Jacquelynn Y
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Jan 17th, 2013 - about 12 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 1922346527 NPPES
Arizona MEDICAID 060012

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