Individual
MS. REBECCA JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5783 NW BELWOOD CIR, PORT ST LUCIE, FL 34986-4162
(772) 361-3854
Mailing address
5783 NW BELWOOD CIR, PORT ST LUCIE, FL 34986-4162
(772) 361-3854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9345557
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008309700
—
FL
Enumeration date
01/14/2016
Last updated
01/14/2016
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