Active NPIIndividual provider

Ms. Susan D Jacques, MS N APRN

Nurse Practitioner in Colchester, Vermont

NPI Number1659353894
Practice location
1 Winooski Park Smc Box 259, Saint Michael'S College, Colchester, VT 05439-0001
Fax
802-654-2699
Last updated
February 11, 2016

Susan Diana Jacques is a Nurse Practitioner based in Colchester, VT. Susan Diana Jacques practices in Colchester, VT and has the professional credentials of MS N APRN. The NPI Number for Susan Diana Jacques is 1659353894 and holds a License No. 101-0020757 (VT). The current practice location address for Susan Diana Jacques is 1 Winooski Park Smc Box 259, Saint Michael'S College, Colchester, VT 05439-0001 and can be reached out via phone at 802-654-2234 and via fax at 802-654-2699.

Provider Profile Details

NPI Number
1659353894
Provider Name
Susan Diana Jacques
Credential
MS N APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Winooski Park Smc Box 259, Saint Michael'S College, Colchester, VT 05439-0001
Phone Number
802-654-2234
Fax Number
802-654-2699
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2005
Last Update Date
February 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Winooski Park Smc Box 259
Saint Michael'S College
Colchester, VT 05439-0001
State
Vermont
Zip
05439-0001
Phone Number
802-654-2234
Fax Number
802-654-2699
Colchester, VT 05439Get directions →

Provider Business Mailing Address Details

Address
255 West Shore Road
South Hero, VT 05486
City
South Hero
State
VT
Zip
05486
Phone Number
802-324-5122
Fax Number
802-654-2699

License Information

License Number
101-0020757
License State
VT
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Susan D Jacques, MS N APRN?

The NPI number of Ms. Susan D Jacques, MS N APRN is 1659353894. It was assigned on November 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan D Jacques, MS N APRN?

Ms. Susan D Jacques, MS N APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in VT under license number 101-0020757.

Where does Ms. Susan D Jacques, MS N APRN practice?

The practice location is 1 Winooski Park Smc Box 259, Saint Michael'S College, Colchester, VT 05439-0001. The office can be reached at 802-654-2234 (phone) or 802-654-2699 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659353894 directly on the NPPES registry website.

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