Staal, Jacqueline B

Staal, Jacqueline B is an individual health care provider with primary practice located at 8595 College Pkwy Suite 250, Fort Myers FL 33919-5191. 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. Staal, Jacqueline B can be contacted via phone (239) 481-9999.

Contact Information

Primary practice address
8595 College Pkwy Suite 250 Fort Myers FL 33919-5191
Phone: (239) 481-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 9204631 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9204631 Florida

Profile Details

NPI number 1073794574
LBN Legal business name Staal, Jacqueline B
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Dec 26th, 2011 - 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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