Doctor Name: | JACQUELINE O BRUCE-TAGOE |
NPI Number: | 1316252042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0002073930 |
Business Practice Address: | 15816 Meherrin Way Woodbridge, VA - 221914264 |
Business Phone Number: | 7039195815 |
Business Fax Number: | |
Mailing Address: | 15816 Meherrin Way, WOODBRIDGE |
State: | VA |
Postal Code: | 221914264 |
Phone Number: | 7039195815 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 0002073930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |