Meyer, Jacquelyn J

Meyer, Jacquelyn J is an individual health care provider with primary practice located at 1200 W Mohave Rd , Parker AZ 85344-6349. 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. Meyer, Jacquelyn J can be contacted via phone (928) 669-9201.

Contact Information

Primary practice address
1200 W Mohave Rd Parker AZ 85344-6349
Phone: (928) 669-9201
Fax: (928) 669-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP1654 Arizona

Profile Details

NPI number 1861494882
LBN Legal business name Meyer, Jacquelyn J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Sep 2nd, 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 1861494882 NPPES
Arizona MEDICAID 034961
Arizona Other CG7880

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