Bray, Jacqueline Moriah
Bray, Jacqueline Moriah is an individual health care provider with primary practice located at 172 Fairfield St , Saint Albans VT 05478-1743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bray, Jacqueline Moriah can be contacted via phone (802) 488-6290.Contact Information
Primary practice address
172 Fairfield St
Saint Albans VT 05478-1743
Phone: (802) 488-6290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 101.0134606 | Vermont |
Profile Details
| NPI number | 1790395051 |
|---|---|
| LBN Legal business name | Bray, Jacqueline Moriah |
| Credentials | DNP-FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2020 |
| Last updated | Aug 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790395051 | NPPES |
| Vermont | Other | 101.0134606 | APRN CREDENTIAL |
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