Provider Demographics
NPI:1962548081
Name:HALE, JACQUELINE MICHELE (RN, MSN, CNS, AOCN)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:MICHELE
Last Name:HALE
Suffix:
Gender:F
Credentials:RN, MSN, CNS, AOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SPRINGER FARM LN
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-1776
Mailing Address - Country:US
Mailing Address - Phone:908-303-7288
Mailing Address - Fax:
Practice Address - Street 1:2100 WESCOTT DR
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4603
Practice Address - Country:US
Practice Address - Phone:908-237-2330
Practice Address - Fax:908-237-2351
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05424200364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NC05424200OtherNURSING LICENSE