Versis, Jacquelyn Serena

Versis, Jacquelyn Serena is an individual health care provider with primary practice located at 4822 Caton Farm Rd , Plainfield IL 60586-8262. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Versis, Jacquelyn Serena can be contacted via phone (815) 439-5882.

Contact Information

Primary practice address
4822 Caton Farm Rd Plainfield IL 60586-8262
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS48047 Florida
Pharmacy Service Providers / Pharmacist 183500000X 051.297375 Illinois

Profile Details

NPI number 1801166244
LBN Legal business name Versis, Jacquelyn Serena
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated Dec 21st, 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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