Ferdowsali, Jacqueline Marie

Ferdowsali, Jacqueline Marie is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Ste 330 , Vancouver WA 98664-3288. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ferdowsali, Jacqueline Marie can be contacted via phone (360) 514-2990.

Contact Information

Primary practice address
200 Ne Mother Joseph Pl Ste 330 Vancouver WA 98664-3288
Phone: (360) 514-2990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN001499 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11330828-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60879539 Washington

Profile Details

NPI number 1215278759
LBN Legal business name Ferdowsali, Jacqueline Marie
Credentials A.G.A.C.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2013
Last updated Apr 7th, 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.

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