Individual provider · Type 1 NPI

Jacqueline Anne Colonna

Licensed Practical Nurse · Mastic, NY

NPI number 1023248044 Active

Practice location

21 Montgomery Ave
Mastic, NY 11950-2603

Call (631) 466-2631 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X296672 (NY)

Licensed Practical Nurse: 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.

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About NPI 1023248044

Jacqueline Anne Colonna's National Provider Identifier is 1023248044, issued on Jul 24, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mastic, NY. The record was last updated on Jul 24, 2009.