Jacqulyne S Booker in Bloomington - Nurse Practitioner
Jacqulyne S Booker - NPI 1316991557
Jacqulyne S Booker is a Nurse Practitioner in Bloomington, Indiana. Jacqulyne S Booker practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jacqulyne S Booker is 1316991557. The last update date is 2020-12-02.
Jacqulyne S Booker's current location address is Po Box 1329, Bloomington, Indiana. You can contact this provider via phone number 8123533087. The mailing address for Jacqulyne S Booker is Po Box 1329, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqulyne S Booker |
|---|---|
| Address | Po Box 1329, Bloomington, Indiana |
| Phone Number | 8123533087 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1316991557 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-12-02 |
Provider Mailing Address Detail
| Address | Po Box 1329 |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474021329 |
| Phone Number | 8123533087 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71001863 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71001863 | IN | INDIANA NURSE PRACTITIONE | |
| 28085357A | IN | INDIANA RN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jacqulyne S Booker?
The Jacqulyne S Booker has been issued the NPI (National Provider Identifier) 1316991557 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacqulyne S Booker?
The Jacqulyne S Booker is physically situated at Po Box 1329, in the city of Bloomington, state of IN, with the postal code 474021329.
What is the area of specialization for Jacqulyne S Booker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacqulyne S Booker is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date was the 1316991557 assigned to Jacqulyne S Booker?
The Jacqulyne S Booker was issued its 1316991557 on 2006-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jacqulyne S Booker's information last updated?
The Jacqulyne S Booker's information was last updated on 2020-12-02.