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Jacqueline R Costello

Nurse Practitioner Nurse Practitioner - Pediatrics

2150 Herbert Ct
Greenville , North Carolina 27834-3736

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Jacqueline R Costello

Nurse Practitioner Nurse Practitioner - Pediatrics

2150 Herbert Ct
Greenville , North Carolina 27834-3736

Write a Review Save Call

Jacqueline R Costello

Nurse Practitioner Nurse Practitioner - Pediatrics

2150 Herbert Ct
Greenville , North Carolina 27834-3736

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner
  • Nurse Practitioner - Pediatrics

Languages spoken

  • English

Location

2150 Herbert Ct Greenville , North Carolina 27834-3736

First Address

  • Jacqueline R Costello
  • Po Box 751069
  • Charlotte, NC
  • Zip : 28275-1069
  • Phone :

Second Address

  • Jacqueline R Costello
  • 2150 Herbert Ct
  • Greenville, NC
  • Zip : 27834-3736
  • Fax : (252) 744-1514
  • Phone : (252) 744-5437

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FAQs


Where did Jacqueline R Costello attend graduate school?

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Where did Jacqueline R Costello do her residency?

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Where did Jacqueline R Costello do her fellowship?

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Is Jacqueline R Costello board certified?

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What type of doctor is Jacqueline R Costello

Nurse Practitioner - Pediatrics

In what state does Jacqueline R Costello practice in?

North Carolina

Where is Jacqueline R Costello ’s practice located?

2150 Herbert Ct , Greenville, North Carolina, 27834-3736

What is Jacqueline R Costello ’s gender?

Female

Is Jacqueline R Costello a sole practitioner?

No

Is Jacqueline R Costello accepting new patients?

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What languages does Jacqueline R Costello speak?

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Does Jacqueline R Costello accept insurance?

Yes, Jacqueline R Costello accepts insurance

Does Jacqueline R Costello offers telemedicine?

Jacqueline R Costello has not indicated if she offers telemedicine

What is Jacqueline R Costello ’s professional license number?

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What is Jacqueline R Costello ’s NPI number?

1003850405

Does Jacqueline R Costello have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363L00000X Nurse Practitioner ARNP9223611 FL
Y 363LP0200X Nurse Practitioner - Pediatrics 5006348 NC
N 363LP0200X Nurse Practitioner - Pediatrics 760023 TX

National Provider Identifier

NPI 1003850405
Provider Name Jacqueline R Costello
First Address Charlotte, NC 28275-1069
Second Address Greenville, NC 27834-3736
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/06/2006
Last Update Date 10/12/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1003850405 (05) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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