Jacquelin S Daniel
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
1508 K-V Road
Victoria
, Virginia 23974
Jacquelin S Daniel
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
1508 K-V Road
Victoria
, Virginia 23974
(434) 696-1557
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jacquelin S Daniel
- 1508 K-V Road
- Victoria, VA
- Zip : 23974
- Fax : (434) 696-1557
- Phone : (434) 696-2165
Second Address
- Jacquelin S Daniel
- 1508 K-V Road
- Victoria, VA
- Zip : 23974
- Fax : (434) 696-1577
- Phone : (434) 696-2165
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0024164095 | VA |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 0024164095 | VA |
National Provider Identifier
| NPI | 1083619563 |
|---|---|
| Provider Name | Jacquelin S Daniel |
| First Address | Victoria, VA 23974 |
| Second Address | Victoria, VA 23974 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2005 |
| Last Update Date | 11/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010025788 | (05) | VA |
| 010025788 | VA PREMIER KB (01) | VA |
| 010105510 | (05) | VA |
| 010105510 | VA PREMIER (01) | VA |
| 010252881 | (05) | VA |
| 187620 | MEDCOST (01) | VA |
| 187697 | MEDCOST KB (01) | VA |
| 187699 | MEDCOST CC (01) | VA |
| 224189800 | DOL (01) | VA |
| 7000967 | NC MEDICAID (01) | VA |
| Q38634 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.