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

Jacqueline Channell, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1942729173

Jacqueline Channell, FNP-BC is a Nurse Practitioner in San Diego, California. Qualified in 2017, 9 years ago. Practices with United Summit Center Inc, a 14-clinician group and works from 2 locations. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4520 Executive Dr Ste 227
San Diego, CA 92121-3020
Phone: (888) 777-1945
Fax: (805) 413-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Stone Harbor Way F1, Delray Beach, FL 33444 — (561) 445-5761

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9278612 (FL)

Record details

NPI number1942729173
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 19, 2017
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice United Summit Center Inc — 14 clinicians
Accepts Medicare assignment Not indicated

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