| NPI | 1538901491 |
|---|---|
| Former Name | JACQUELINE ELISABETH MCCOOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95037755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 961340) |
| 163W00000X Registered Nurse (Licence: HI 95200) | |
| 163W00000X Registered Nurse (Licence: CA 95336966) | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-12-04 |