| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACQUILYN E WOLLIN | 1376265363 | 2023-05-06 |
Jacquilyn E Wollin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376265363. Registration indicates Jacquilyn E Wollin is a provider of services with a specialization in Nursing Service Related Providers, Doula (Doula, Nursing Service Related Providers) (Doula, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Jacquilyn E Wollin |
| Practice Office Address | 6242 DANBURY WAY SAN DIEGO, CA US |
| Practice Office Telephone | 6082356505 |
| Mailing Address | PO BOX 601193 SAN DIEGO, CA 921601193 US |
| Code | Practice | License No State |
|---|---|---|
| 374J00000X PRIMARY | Nursing Service Related Providers Doula Doula Nursing Service Related Providers Doula | |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |