Smith-Douglas, Jacquelyn
Smith-Douglas, Jacquelyn is an sole proprietor health care provider with primary practice located at 150 Paularino Ave , Costa Mesa CA 92626-3301. 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. Smith-Douglas, Jacquelyn can be contacted via phone (949) 556-3433.Contact Information
Primary practice address
150 Paularino Ave
Costa Mesa CA 92626-3301
Phone: (949) 556-3433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F07210327 | California |
Profile Details
| NPI number | 1598336828 |
|---|---|
| LBN Legal business name | Smith-Douglas, Jacquelyn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2021 |
| Last updated | Dec 29th, 2022 - about 4 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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