Individual provider · Type 1 NPI
Jacqueline Lea Van Vliet
Acute Care Nurse Practitioner · New York, NY
NPI number
1134035009
Active
Practice location
550 1st Ave
New York, NY 10016-6402
Mailing address
1346 Pacific St Apt 3A
Brooklyn, NY 11216-6838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F433469 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1134035009
Jacqueline Lea Van Vliet's National Provider Identifier is 1134035009, issued on Aug 20, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Aug 20, 2026.