| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACQUELINE CAUSBIE | 1699368373 | 2021-02-14 |
Jacqueline Causbie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699368373. Registration indicates Jacqueline Causbie is a provider of services with a specialization in 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 | Jacqueline Causbie |
| Practice Office Address | 9040 JACKSON AVE JOINT BASE LEWI, WA US |
| Practice Office Telephone | 2539681110 |
| Mailing Address | 9040 JACKSON AVE JOINT BASE LEWIS MCCHORD, WA 984310001 US |
| Business Telephone | 2539681110 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | 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 |