Individual
JACQUELINE EDQUID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 ROCKSIDE RD, INDEPENDENCE, OH 44131-2155
(614) 339-1649
Mailing address
4700 ROCKSIDE RD, INDEPENDENCE, OH 44131-2155
(614) 339-1649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.414923
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.414923
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
06/25/2021
Last updated
06/25/2021
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