# JACQUELINE POOLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396033981
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2014021724 | MO | — |
| 207RP1001X | Pulmonary Disease Physician | 30812 | NE | Yes |
| 281P00000X | Chronic Disease Hospital | 2011020643 | MO | — |

## Other

- **Enumeration date:** 07/15/2011
- **Last updated:** 12/12/2023