Stansell, Jacquelynn Nichole

Stansell, Jacquelynn Nichole is an sole proprietor health care provider with primary practice located at 1877 Elkins Point Dr , Melbourne FL 32935-4762. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Stansell, Jacquelynn Nichole can be contacted via phone (208) 991-8952.

Contact Information

Primary practice address
1877 Elkins Point Dr Melbourne FL 32935-4762
Phone: (208) 991-8952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1053870857
LBN Legal business name Stansell, Jacquelynn Nichole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2019
Last updated Jan 2nd, 2020 - about 6 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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