Individual provider · Type 1 NPI
Jackie Lynn Spagnuolo, NP
Adult Health Nurse Practitioner · Staten Island, NY
NPI number
1346950060
Active
Practice location
116 Lamberts Ln
Staten Island, NY 10314-7210
Mailing address
50 Lynbrook Ave
Staten Island, NY 10309-4509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F31110201 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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- Josiane Lederman, MDDermatology Physician Staten Island, NY NPI 1619981511
- Nicholas Michael Vega, PAPhysician Assistant Staten Island, NY NPI 1588592760
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About NPI 1346950060
Jackie Lynn Spagnuolo, NP's National Provider Identifier is 1346950060, issued on Dec 5, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Staten Island, NY. The record was last updated on Dec 5, 2022.