Individual
BARBARA CLARE JAQUITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN, RN, PNP. FNP
Contact information
Practice address
345 N DIVISION RD, PETOSKEY, MI 49770-9416
(231) 347-8382
Mailing address
8274 W STUTSMANVILLE RD, HARBOR SPRINGS, MI 49740-9652
(231) 526-5992
(231) 347-6628
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704149642
MI
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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