JACQUELINE O BRUCE-TAGOE - NPI 1316252042 - Licensed Practical Nurse in Woodbridge, VA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Jacqueline O Bruce-tagoe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE O BRUCE-TAGOE (NPI 1316252042) is an individual licensed practical nurse in Woodbridge, Virginia, licensed in Virginia (0002073930) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1316252042

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJACQUELINE O BRUCE-TAGOE

Location Address15816 MEHERRIN WAYWoodbridge, VA 22191-4264

Mailing Address15816 Meherrin WayWoodbridge, VA 22191-4264 · (703) 919-5815

Phone(703) 919-5815

Sole ProprietorYes

Enumeration DateAugust 18, 2010

✔ NPI 1316252042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in VA · 0002073930

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

15816 MEHERRIN WAY, Woodbridge, VA 22191

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Other Names 1

Other Name (5)Miss Jacqueline O Bruce-tagoe

Frequently Asked Questions

What is Jacqueline Bruce-tagoe's NPI number?

The NPI number assigned to this healthcare provider is 1316252042, enumerated as an "individual" on August 18, 2010.

Where is the provider located?

The provider is located at 15816 MEHERRIN WAY WOODBRIDGE, VA 22191 and the phone number is (703) 919-5815.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.