Individual provider · Type 1 NPI
Jacquelyn S. Stathis, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1124591052
Active
Practice location
100 E 77th St
New York, NY 10075-1850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00814500 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124591052
Jacquelyn S. Stathis, NP's National Provider Identifier is 1124591052, issued on Jan 3, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Oct 23, 2023.