Fuentes Camacho, Jacqueline
Fuentes Camacho, Jacqueline is an individual health care provider with primary practice located at 2451 S Avenue A Ste A104 , Yuma AZ 85364-7189. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fuentes Camacho, Jacqueline can be contacted via phone (928) 336-2165.Contact Information
Primary practice address
2451 S Avenue A Ste A104
Yuma AZ 85364-7189
Phone: (928) 336-2165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | RN208944 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 305501 | Arizona |
Profile Details
| NPI number | 1639781958 |
|---|---|
| LBN Legal business name | Fuentes Camacho, Jacqueline |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2020 |
| Last updated | Nov 19th, 2024 - about 2 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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