Bishop, Jacqueline R

Bishop, Jacqueline R is an individual health care provider with primary practice located at 1 Pearl St Suite 2100, Brockton MA 02301-2864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bishop, Jacqueline R can be contacted via phone (508) 897-6040.

Contact Information

Primary practice address
1 Pearl St Suite 2100 Brockton MA 02301-2864
Phone: (508) 897-6040
Fax: (508) 897-6045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 128471 Massachusetts

Profile Details

NPI number 1073594180
LBN Legal business name Bishop, Jacqueline R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 19 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 1073594180 NPPES
Massachusetts MEDICAID 0376931

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