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Individual

MRS. JAQUELINE LEIGH BRICE

Active
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Individual

MRS. JAQUELINE LEIGH BRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
134631
IA
363L00000X
Nurse Practitioner
209.033831
IL
363L00000X
Nurse Practitioner
Primary
A186845
IA

Other

Enumeration date
03/09/2023
Last updated
01/09/2026
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