Jacques, Susan Diana

Jacques, Susan Diana is an individual health care provider with primary practice located at 1 Winooski Park Smc Box 259 Saint Michael'S College, Colchester VT 05439-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jacques, Susan Diana can be contacted via phone (802) 654-2234.

Contact Information

Primary practice address
1 Winooski Park Smc Box 259 Saint Michael'S College Colchester VT 05439-0001
Phone: (802) 654-2234
Fax: (802) 654-2699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101-0020757 Vermont

Profile Details

NPI number 1659353894
LBN Legal business name Jacques, Susan Diana
Credentials M.S. N. A.P.R.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Feb 11th, 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.

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