Jacqueline B Staal in Fort Myers - Family

Jacqueline B Staal - NPI 1073794574

Jacqueline B Staal is a Family in Fort Myers, Florida. Jacqueline B Staal practices all healthcare services and medical treatments related to Family. The NPI Number for Jacqueline B Staal is 1073794574. The last update date is 2011-12-26.

Jacqueline B Staal's current location address is 8595 College Pkwy, Fort Myers, Florida. You can contact this provider via phone number 2394819999. The mailing address for Jacqueline B Staal is 8595 College Pkwy, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline B Staal
Address 8595 College Pkwy, Fort Myers, Florida
Phone Number 2394819999
Fax Number
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1073794574
Provider Enumeration Date 2007-11-26
Last Updated Date 2011-12-26

Provider Mailing Address Detail

Address 8595 College Pkwy
City Fort Myers
State Florida (FL)
Post Code 339195191
Phone Number 2394819999
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No ARNP 9204631
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jacqueline B Staal

What is the unique provider identifier assigned to Jacqueline B Staal?

The Jacqueline B Staal has been issued the NPI (National Provider Identifier) 1073794574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jacqueline B Staal is physically located?

The Jacqueline B Staal is situated at the following address: 8595 College Pkwy, Fort Myers, FL 339195191.

What is Jacqueline B Staal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jacqueline B Staal is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

When was the Jacqueline B Staal's 1073794574 issued?

The Jacqueline B Staal's 1073794574 was issued on 2007-11-26.

When was the information pertaining to Jacqueline B Staal most recently updated or revised?

The details related to Jacqueline B Staal, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-26.

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