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Jacqueline R Costello, DNP,RN,CPNP
Pediatric Nurse Practitioner in Greenville, North Carolina
NPI 1003850405

Jacqueline R Costello is a Pediatric Nurse Practitioner based in Charlotte, NC and is specialized in Pediatrics. Jacqueline R Costello practices in Greenville, NC and has the professional credentials of DNP,RN,CPNP. The NPI Number for Jacqueline R Costello is 1003850405 and holds a License No. ARNP9223611 (North Carolina).

The current practice location address for Jacqueline R Costello is 2150 Herbert Ct, Greenville, NC and can be reached out via phone at 252-744-5437 and via fax at 252-744-1514. You can also correspond with Jacqueline R Costello through the mailing address at PO BOX 751069, CHARLOTTE, NC - 28275-1069 (mailing address contact number: ).

Location: 2150 Herbert Ct, Greenville, NC, 28275-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003850405
Provider Name
Jacqueline R Costello
Credential
DNP,RN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
2150 Herbert Ct, Greenville, NC, 28275-1069
Phone Number
252-744-5437
Fax Number
252-744-1514
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003850405 05 NC
institution
Provider Business Practice Location Address Details
Address
2150 Herbert Ct
City
Greenville
State
North Carolina
Zip
27834-3736
Phone Number
252-744-5437
Fax Number
252-744-1514
person
Provider Business Mailing Address Details
Address
Po Box 751069
City
Charlotte
State
North Carolina
Zip
28275-1069
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
760023 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
ARNP9223611 (Florida)
Definition
Definition to come...
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