Gillespie, Jacqueline L

Gillespie, Jacqueline L is an individual health care provider with primary practice located at 2502 W Elk Ave , Duncan OK 73533-1562. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gillespie, Jacqueline L can be contacted via phone (580) 252-9600.

Contact Information

Primary practice address
2502 W Elk Ave Duncan OK 73533-1562
Phone: (580) 252-9600
Fax: (580) 252-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X R0045906 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 45906 Oklahoma

Profile Details

NPI number 1346235488
LBN Legal business name Gillespie, Jacqueline L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jun 16th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346235488 NPPES
Oklahoma MEDICAID 100113640A
Oklahoma Other 100113640B

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