Price, Jacqueline Devin
Price, Jacqueline Devin is an sole proprietor health care provider with primary practice located at 111 Skyline Dr , Russellville AR 72801-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Price, Jacqueline Devin can be contacted via phone (479) 498-4661.Contact Information
Primary practice address
111 Skyline Dr
Russellville AR 72801-3363
Phone: (479) 498-4661
Fax: (501) 321-0710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 123954 | Arkansas |
Profile Details
| NPI number | 1144856998 |
|---|---|
| LBN Legal business name | Price, Jacqueline Devin |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2020 |
| Last updated | Jul 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144856998 | NPPES |
| Arkansas | Other | 123954 | ARKANSAS APRN LICENSES |
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