Jacques, Rose Myriame

Jacques, Rose Myriame is an individual health care provider with primary practice located at 109 Wimbledon Sq Ste H , Chesapeake VA 23320-4945. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jacques, Rose Myriame can be contacted via phone (757) 410-8244.

Contact Information

Primary practice address
109 Wimbledon Sq Ste H Chesapeake VA 23320-4945
Phone: (757) 410-8244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024173718 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173718 Virginia

Profile Details

NPI number 1871041376
LBN Legal business name Jacques, Rose Myriame
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2016
Last updated Jul 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871041376 NPPES
Virginia Other 1871041376 MULTIPLAN
Virginia Other 1871041376 MULTIPLAN
Virginia MEDICAID 1871041376 MULTIPLAN
Virginia Other 1871041376 MULTIPLAN
Virginia Other 1871041376 MULTIPLAN
Virginia Other 1871041376 MULTIPLAN
Virginia Other 1871041376 MULTIPLAN
Virginia MEDICAID 1871041376 MULTIPLAN
Virginia Other 1871041376 MULTIPLAN

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