Individual
JACQUELINE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1507 CALHOUN LN, WEST CHESTER, PA 19380-6712
(610) 220-1920
Mailing address
1507 CALHOUN LN, WEST CHESTER, PA 19380-6712
(610) 220-1920
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP016981
PA
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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