JACQUELINE B STAAL ARNP NPI 1073794574

NPI Information

NPI: 1073794574
Provider Name: JACQUELINE B STAAL, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
8595 COLLEGE PKWY
SUITE 250
FORT MYERS, FL
ZIP 33919
Phone: (239) 481-9999
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Jacqueline B Staal, ARNP is a family nurse practitioner in Fort Myers, FL. Jacqueline B Staal, ARNP NPI is 1073794574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8595 COLLEGE PKWY
SUITE 250
FORT MYERS, FL
ZIP 33919-191
Phone: (239) 481-9999

The enumeration date for this NPI number is 11/26/2007 and was last updated on 12/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN 9204631	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP 9204631	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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