Guardia, Jacqueline M
Guardia, Jacqueline M is an individual health care provider with primary practice located at 1073 N Benson Rd , Fairfield CT 06824-5195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Guardia, Jacqueline M can be contacted via phone (203) 254-4000.Contact Information
Primary practice address
1073 N Benson Rd
Fairfield CT 06824-5195
Phone: (203) 254-4000
Fax: (203) 254-4263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 6017 | Connecticut |
Profile Details
| NPI number | 1902050016 |
|---|---|
| LBN Legal business name | Guardia, Jacqueline M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2008 |
| Last updated | Apr 12th, 2019 - about 7 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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