Individual provider · Type 1 NPI
Jacqueline Marie Iannacone, PMHNP-BC, CARN
Psychiatric/Mental Health Nurse Practitioner · Manasquan, NJ
NPI number
1316675531
Active
Practice location
2640 Highway 70 Bldg 7A
Manasquan, NJ 08736-2609
Mailing address
382 Atlantis Ave
Manahawkin, NJ 08050-2068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01352900 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1316675531
Jacqueline Marie Iannacone, PMHNP-BC, CARN's National Provider Identifier is 1316675531, issued on Aug 15, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Manasquan, NJ. The record was last updated on Aug 1, 2024.