Jaclyn Nicole Churchill
Jaclyn Nicole Churchill is a Physician Assistant in New York, New York. Licensed in Florida. Registered with an NPI since 2009.
- Licensed in
- FL
- In the registry since
- 2009
Practice location Address checks out
200 W 58th StNew York, NY 10019-1476
Phone: (212) 757-7010
Fax: (212) 307-0759
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA 9104938 (FL) |
|---|
Record details
| NPI number | 1568695807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 3, 2009 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
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