Individual provider · Type 1 NPI
Jessica Bacci, CPNP-PC
Pediatric Nurse Practitioner · Lindenhurst, NY
NPI number
1316369903
Active
Practice location
458 S 12th St
Lindenhurst, NY 11757-4520
Other practice locations
- 418 S 14th St, Lindenhurst, NY 11757-4436 · (516) 661-4954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | 668606-1 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 202223706 (NY) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Lindenhurst
About NPI 1316369903
Jessica Bacci, CPNP-PC's National Provider Identifier is 1316369903, issued on Jan 15, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lindenhurst, NY. The record was last updated on Aug 23, 2022.