Individual provider · Type 1 NPI

Jaclyn Kischkower, NP

Nurse Practitioner · East Setauket, NY

NPI number 1306677620 Active

Practice location

45 Research Way Ste 108
East Setauket, NY 11733-6401

Fax (631) 941-2010

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X311866 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1306677620

Jaclyn Kischkower, NP's National Provider Identifier is 1306677620, issued on Aug 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Setauket, NY. The record was last updated on Aug 15, 2024.