Individual
JACQUELINE T. MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
(816) 318-3109
Mailing address
1431 SOUTHWEST BLVD STOP 6, JEFFERSON CITY, MO 65109-2468
(573) 634-2516
(573) 635-9643
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2000166191
MO
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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