Shatlova, Jacquelene

Shatlova, Jacquelene is an individual health care provider with primary practice located at 121 Dekalb Ave , Brooklyn NY 11201-5425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Shatlova, Jacquelene can be contacted via phone (718) 250-8259.

Contact Information

Primary practice address
121 Dekalb Ave Brooklyn NY 11201-5425
Phone: (718) 250-8259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 571828 New York
Nursing Service Providers / Registered Nurse 163W00000X 571828 New York

Profile Details

NPI number 1194153601
LBN Legal business name Shatlova, Jacquelene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2013
Last updated Jan 2nd, 2024 - about 2 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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