Individual provider · Type 1 NPI

Susan Diana Jacques, M.S. N. A.P.R.N.

Nurse Practitioner · Colchester, VT

NPI number 1659353894 Active

Practice location

1 Winooski Park Smc Box 259, Saint Michael's College
Colchester, VT 05439-0001

Call (802) 654-2234 Map

Fax (802) 654-2699

Mailing address

255 West Shore Road
South Hero, VT 05486

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X101-0020757 (VT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659353894

Susan Diana Jacques, M.S. N. A.P.R.N.'s National Provider Identifier is 1659353894, issued on Nov 15, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Colchester, VT. The record was last updated on Feb 11, 2016.