Provider Demographics
NPI:1598598302
Name:STINCHFIELD, JACQUELIN
Entity type:Individual
Prefix:
First Name:JACQUELIN
Middle Name:
Last Name:STINCHFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JACKIE
Other - Middle Name:
Other - Last Name:STINCHFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:265 WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1120
Mailing Address - Country:US
Mailing Address - Phone:614-296-0453
Mailing Address - Fax:
Practice Address - Street 1:265 WATERFORD DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1120
Practice Address - Country:US
Practice Address - Phone:614-296-0453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker