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Individual

MS. SUSAN DIANA JACQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. N. A.P.R.N.

Contact information

Practice address
1 WINOOSKI PARK SMC BOX 259, SAINT MICHAEL'S COLLEGE, COLCHESTER, VT 05439-0001
(802) 654-2234
(802) 654-2699
Mailing address
255 WEST SHORE ROAD, SOUTH HERO, VT 05486
(802) 324-5122
(802) 654-2699

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0020757
VT

Other

Enumeration date
11/15/2005
Last updated
02/11/2016
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