York, Jacqueline G

York, Jacqueline G is an individual health care provider with primary practice located at 1040 Gulf Breeze Pkwy Suite 200, Gulf Breeze FL 32561-7809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. York, Jacqueline G can be contacted via phone (850) 916-3700.

Contact Information

Primary practice address
1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809
Fax: (850) 916-3710
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100693 Florida

Profile Details

NPI number 1407925126
LBN Legal business name York, Jacqueline G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Nov 29th, 2011 - about 14 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 1407925126 NPPES
Alabama Other 59197952 BCBS ALABAMA - DH2
Alabama MEDICAID 121498 BCBS ALABAMA - DH2
Alabama Other 59197954 BCBS ALABAMA - DH2
Alabama Other P00222818 BCBS ALABAMA - DH2
Alabama Other E2224Z BCBS ALABAMA - DH2
Alabama MEDICAID 290827100 BCBS ALABAMA - DH2
Alabama Other 59010138 BCBS ALABAMA - DH2
Alabama MEDICAID 121495 BCBS ALABAMA - DH2
Alabama Other Y00MR BCBS ALABAMA - DH2
Alabama Other 593-05287 BCBS ALABAMA - DH2
Alabama Other 593-05288 BCBS ALABAMA - DH2

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