Jacqueline Lee Destro in Wilkinsburg - Pediatrics
Jacqueline Lee Destro - NPI 1164568465
Jacqueline Lee Destro is a Pediatrics in Wilkinsburg, Pennsylvania. Jacqueline Lee Destro practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jacqueline Lee Destro is 1164568465. The last update date is 2013-07-15.
Jacqueline Lee Destro's current location address is 221 Penn Ave, Wilkinsburg, Pennsylvania. You can contact this provider via phone number 4128656589. The mailing address for Jacqueline Lee Destro is 221 Penn Ave, Wilkinsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Lee Destro |
|---|---|
| Address | 221 Penn Ave, Wilkinsburg, Pennsylvania |
| Phone Number | 4128656589 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | C.R.N.P. |
NPI Number Detail
| NPI Number | 1164568465 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2013-07-15 |
Provider Mailing Address Detail
| Address | 221 Penn Ave |
|---|---|
| City | Wilkinsburg |
| State | Pennsylvania (PA) |
| Post Code | 1522121180 |
| Phone Number | 4128656589 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | UP001881D |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique provider identifier assigned to Jacqueline Lee Destro?
The Jacqueline Lee Destro has been issued the NPI (National Provider Identifier) 1164568465 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 Lee Destro is physically located?
The Jacqueline Lee Destro is situated at the following address: 221 Penn Ave, Wilkinsburg, PA 1522121180.
What is the area of specialization for Jacqueline Lee Destro, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacqueline Lee Destro is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164568465 to Jacqueline Lee Destro?
The Centers for Medicare & Medicaid Services assigned the 1164568465 to Jacqueline Lee Destro on 2007-01-30.
When was the information regarding Jacqueline Lee Destro most recently updated?
The details pertaining to the Jacqueline Lee Destro, including its address, specialty, and other relevant information, were last refreshed on 2013-07-15.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY