Individual provider · Type 1 NPI
Jaclyn Roseann Cuccinello, NP
Women's Health Nurse Practitioner · Port Jefferson Station, NY
NPI number
1043476237
Active
Practice location
5225 Rte 347 Ste 70
Port Jefferson Station, NY 11776-2061
Fax (631) 474-9169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 565107 (NY) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | F421258-1 (NY) |
Women's Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other women's health nurse practitioner providers in Port Jefferson Station
About NPI 1043476237
Jaclyn Roseann Cuccinello, NP's National Provider Identifier is 1043476237, issued on Aug 6, 2008. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 11, 2019.