JACQUELINE TERRA-GONCALVES NPI 1174984520

NPI Information

NPI: 1174984520
Provider Name: JACQUELINE TERRA-GONCALVES
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
222 S FLAMINGO RD
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 442-0029
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Jacqueline Terra-goncalves is a family nurse practitioner in Pembroke Pines, FL. Jacqueline Terra-goncalves NPI is 1174984520. 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:

222 S FLAMINGO RD
PEMBROKE PINES, FL
ZIP 33027-721
Phone: (954) 442-0029

The NPI 1174984520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2016 and was last updated on 3/13/2016.

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	363L00000X	Nurse Practitioner		ARNP9356655	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP9356655	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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