Individual
JACQUELINE CHURCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 SUNSET HOLLOW RD, WEST CHESTER, PA 19380-3840
(610) 283-8446
Mailing address
250 SUNSET HOLLOW RD, WEST CHESTER, PA 19380-3840
(610) 283-8446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022224
PA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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