Gastelum, Jaqueline
Gastelum, Jaqueline is an individual health care provider with primary practice located at 476 N 900 W Ste C , American Fork UT 84003-5202. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gastelum, Jaqueline can be contacted via phone (801) 492-1611.Contact Information
Primary practice address
476 N 900 W Ste C
American Fork UT 84003-5202
Phone: (801) 492-1611
Fax: (801) 492-1480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9708922-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9708922-4405 | Utah |
Profile Details
| NPI number | 1174343784 |
|---|---|
| LBN Legal business name | Gastelum, Jaqueline |
| Credentials | APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2024 |
| Last updated | Mar 19th, 2025 - about last year |
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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