Qualles, Jacqueline C

Qualles, Jacqueline C is an individual health care provider with primary practice located at 1104 Red Oak Ave , Durham NC 27707-4924. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is her primary health care specialty. Qualles, Jacqueline C can be contacted via phone (919) 806-9202.

Contact Information

Primary practice address
1104 Red Oak Ave Durham NC 27707-4924
Phone: (919) 806-9202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 343495L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 343495 Pennsylvania

Profile Details

NPI number 1407990468
LBN Legal business name Qualles, Jacqueline C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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