Individual provider · Type 1 NPI
Jacqueline Channell, FNP-BC
Family Nurse Practitioner · San Diego, CA
NPI number
1942729173
Active
Practice location
4520 Executive Dr Ste 227
San Diego, CA 92121-3020
Fax (805) 413-9099
Mailing address
111 Stone Harbor Way Apt F1
Delray Beach, FL 33444-3407
Other practice locations
- 111 Stone Harbor Way F1, Delray Beach, FL 33444 · (561) 445-5761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP9278612 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1942729173
Jacqueline Channell, FNP-BC's National Provider Identifier is 1942729173, issued on Sep 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Sep 15, 2022.