Mignella, Jaclyn Marie

Mignella, Jaclyn Marie is an sole proprietor health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 209 , Daytona Beach FL 32117-5169. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mignella, Jaclyn Marie can be contacted via phone (386) 231-3520.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 209 Daytona Beach FL 32117-5169
Phone: (386) 231-3520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN9277984 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11028116 Florida

Profile Details

NPI number 1124582085
LBN Legal business name Mignella, Jaclyn Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2019
Last updated Sep 20th, 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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