Jacques, Rebecca

Jacques, Rebecca is an sole proprietor health care provider with primary practice located at 5783 Nw Belwood Cir , Port St Lucie FL 34986-4162. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jacques, Rebecca can be contacted via phone (772) 361-3854.

Contact Information

Primary practice address
5783 Nw Belwood Cir Port St Lucie FL 34986-4162
Phone: (772) 361-3854
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9345557 Florida

Profile Details

NPI number 1235595695
LBN Legal business name Jacques, Rebecca
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2016
Last updated Jan 14th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235595695 NPPES
Florida MEDICAID 008309700

Popular Providers