Jacqueline Gavin
Nurse Anesthetist, Certified Registered in Glenolden, PA. Individual provider (NPI-1).
NPI number1760807275
StatusActive
Last updated in NPPESFeb 20, 2014
Details
- NPI
- 1760807275
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Gavin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2014
- Last updated
- Feb 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 100723 | PA | Yes |
Other names
- Jacqueline Gavin (Professional Name)
Practice location
808 Oakwood DrGlenolden, PA 19036-1614
Phone 610-209-4145
Mailing address
808 Oakwood DrGlenolden, PA 19036-1614
Phone 610-209-4145
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.