Marco, Jacqueline R

Marco, Jacqueline R is an individual health care provider with primary practice located at 2320 Wilma Rudolph Blvd , Clarksville TN 37040-5821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Marco, Jacqueline R can be contacted via phone (931) 645-1564.

Contact Information

Primary practice address
2320 Wilma Rudolph Blvd Clarksville TN 37040-5821
Phone: (931) 645-1564
Fax: (931) 645-3842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000000158 Tennessee

Profile Details

NPI number 1548346166
LBN Legal business name Marco, Jacqueline R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Sep 23rd, 2014 - about 12 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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