Destro, Jacqueline Lee

Destro, Jacqueline Lee is an individual health care provider with primary practice located at 221 Penn Ave , Wilkinsburg PA 15221-2118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Destro, Jacqueline Lee can be contacted via phone (412) 865-6589.

Contact Information

Primary practice address
221 Penn Ave Wilkinsburg PA 15221-2118
Phone: (412) 865-6589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X UP001881D Pennsylvania

Profile Details

NPI number 1164568465
LBN Legal business name Destro, Jacqueline Lee
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 15th, 2013 - 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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