Jacqueline M Noe
Physician Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1013000488
StatusActive
Last updated in NPPESJun 24, 2015
Details
- NPI
- 1013000488
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline M Noe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2006
- Last updated
- Jun 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107624 | FL | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL1873 | FL |
Other names
- Jacqueline Marshiano (Former Name)
Practice location
807 Childrens WayNemours Childrens Clinic, Jacksonville
Jacksonville, FL 32207-8426
Phone 904-697-3600 · Fax 904-697-3792
Mailing address
Po Box 191Provider Enrollment Dept
Rockland, DE 19732-0191
Phone 302-651-6212 · Fax 302-651-4945
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