Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline C Qualles, CRNA

Individual provider Registered Nurse · NPI 1407990468

Jacqueline C Qualles, CRNA is a Registered Nurse in Durham, North Carolina. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1104 Red Oak Ave
Durham, NC 27707-4924
Phone: (919) 806-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 343495 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 343495L (PA)

Record details

NPI number1407990468
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 16, 2007
Last updated in NPPESSeptember 11, 2025

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