Master, Jacqueline Jeanne

Master, Jacqueline Jeanne is an sole proprietor health care provider with primary practice located at 1550 N Miami Ave , Miami FL 33136-2015. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Master, Jacqueline Jeanne can be contacted via phone (305) 329-3021.

Contact Information

Primary practice address
1550 N Miami Ave Miami FL 33136-2015
Phone: (305) 329-3021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1679622 Florida

Profile Details

NPI number 1346216140
LBN Legal business name Master, Jacqueline Jeanne
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Jan 15th, 2009 - about 17 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 1346216140 NPPES
Florida MEDICAID 305626100

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