Individual
JACQUELINE BOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 SWANSEA DR, MIDDLETOWN, DE 19709-0202
(484) 320-0167
(610) 793-3649
Mailing address
1901 BRINTONS BRIDGE RD, WEST CHESTER, PA 19382-7088
(610) 793-3310
(610) 793-3649
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
L1-0053019
DE
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN533833
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010333
DE
Other
Enumeration date
09/16/2019
Last updated
07/12/2024
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