Jacqueline R Costello
Nurse Practitioner Nurse Practitioner - Pediatrics
2150 Herbert Ct
Greenville
, North Carolina 27834-3736
Jacqueline R Costello
Nurse Practitioner Nurse Practitioner - Pediatrics
2150 Herbert Ct
Greenville
, North Carolina 27834-3736
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
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
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What type of doctor is Jacqueline R Costello
In what state does Jacqueline R Costello practice in?
Where is Jacqueline R Costello ’s practice located?
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Is Jacqueline R Costello a sole practitioner?
Is Jacqueline R Costello accepting new patients?
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Does Jacqueline R Costello offers telemedicine?
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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)
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.