Provider Demographics
NPI:1194967372
Name:AUGSBURGER, JACQUELINE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:
Last Name:AUGSBURGER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 QUAILWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CAPE CARTERET
Mailing Address - State:NC
Mailing Address - Zip Code:28584-9749
Mailing Address - Country:US
Mailing Address - Phone:252-393-6751
Mailing Address - Fax:
Practice Address - Street 1:317 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6379
Practice Address - Country:US
Practice Address - Phone:910-577-2240
Practice Address - Fax:910-577-2439
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004265363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily