Individual
MS. NANCY JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
579 SE CROSSPOINT DR, PORT ST LUCIE, FL 34983-2627
(772) 267-2967
Mailing address
579 SE CROSSPOINT DR, PORT ST LUCIE, FL 34983-2627
(772) 267-2967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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