Individual
MS. JACQUELINE MARIE GUISHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
608 S LOIS CT, WEST PALM BEACH, FL 33413-3459
(561) 687-8828
Mailing address
608 S LOIS CT, WEST PALM BEACH, FL 33413-3459
(561) 687-8828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5223853
FL
311ZA0620X
Adult Care Home Facility
6905994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019288200
—
FL
01
—
PN5223853
FLORIDA BOARD OF NURSING
FL
Enumeration date
02/11/2017
Last updated
04/05/2018
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