National Provider Identifier
Jacquelin Victoria Deatcher, NP, CDE
Jacquelin Victoria Deatcher, NP, CDE is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Attica, NY and a listed phone number of (585) 547-3849.
Profile Overview
- NPI
- 1851498497
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- September 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3325 E Main Street RD
- Attica, NY 14011-9506
Phone: (585) 547-3849
Mailing Address
- 3225B Broadway RD
- Alexander, NY 14005-9760
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1851498497
- Entity Type
- Individual
- Last Name
- Deatcher
- First Name
- Jacquelin
- Middle Name
- Victoria
- Credential
- NP, CDE
- Mailing Street Address
- 3225B Broadway RD
- Mailing City
- Alexander
- Mailing State
- NY
- Mailing ZIP Code
- 14005-9760
- Mailing Country
- US
- Mailing Phone
- (585) 547-3849
- Mailing Fax
- (585) 547-3351
- Practice Street Address
- 3325 E Main Street RD
- Practice City
- Attica
- Practice State
- NY
- Practice ZIP Code
- 14011-9506
- Practice Country
- US
- Practice Phone
- (585) 547-3849
- Practice Fax
- (585) 547-3351
- Enumeration Date
- September 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)