| NPI | 1972120129 |
|---|---|
| Former Name | JACQUELYN FAIN SCHNACKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VT 101.0136923) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VT 026.0152967) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-04-08 |