Homer, Jacklyn Elizabeth

Homer, Jacklyn Elizabeth is an individual health care provider with primary practice located at 367 Pine St , Springfield MA 01105-1930. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Homer, Jacklyn Elizabeth can be contacted via phone (413) 737-1426.

Contact Information

Primary practice address
367 Pine St Springfield MA 01105-1930
Phone: (413) 737-1426
Fax: (413) 739-9988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LN56303 Massachusetts

Profile Details

NPI number 1649986498
LBN Legal business name Homer, Jacklyn Elizabeth
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2023
Last updated Jan 25th, 2023 - about 3 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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