Susan Diana Jacques in Colchester - Nurse Practitioner
Susan Diana Jacques - NPI 1659353894
Susan Diana Jacques is a Nurse Practitioner in Colchester, Vermont. Susan Diana Jacques practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Diana Jacques is 1659353894. The last update date is 2016-02-11.
Susan Diana Jacques's current location address is 1 Winooski Park Smc Box 259, Colchester, Vermont. You can contact this provider via phone number 8026542234 and fax number 8026542699. The mailing address for Susan Diana Jacques is 1 Winooski Park Smc Box 259, Colchester, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Diana Jacques |
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Address | 1 Winooski Park Smc Box 259, Colchester, Vermont |
Phone Number | 8026542234 |
Fax Number | 8026542699 |
Sole Proprietor | N |
Credentials | M.S. N. |
NPI Number Detail
NPI Number | 1659353894 |
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Provider Enumeration Date | 2005-11-15 |
Last Updated Date | 2016-02-11 |
Provider Mailing Address Detail
Address | 1 Winooski Park Smc Box 259 |
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City | Colchester |
State | Vermont (VT) |
Post Code | 54390001 |
Phone Number | 8026542234 |
Fax Number | 8026542699 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 101-0020757 |
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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What is the unique 10-digit identifier code assigned to Susan Diana Jacques by the Centers for Medicare & Medicaid Services?
The Susan Diana Jacques has been issued the NPI (National Provider Identifier) 1659353894 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Susan Diana Jacques is geographically located?
The Susan Diana Jacques is physically situated at the following location: 1 Winooski Park Smc Box 259, Colchester, VT, 54390001.
What is Susan Diana Jacques's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Diana Jacques is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Susan Diana Jacques receive its 1659353894 assignment from the Centers for Medicare & Medicaid Services?
The Susan Diana Jacques was assigned its 1659353894 by the Centers for Medicare & Medicaid Services on 2005-11-15.
As of what date were the details related to Susan Diana Jacques most recently updated or revised?
The information pertaining to Susan Diana Jacques, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-11.