Individual provider · Type 1 NPI

Jacqueline Concepcion, AGNP-BC

Primary Care Nurse Practitioner · New Hyde Park, NY

NPI number 1467976506 Active

Practice location

410 Lakeville Rd Ste 107
New Hyde Park, NY 11042-1102

Mailing address

62 Twig Ln
Levittown, NY 11756-1810

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XF308226-1 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1467976506

Jacqueline Concepcion, AGNP-BC's National Provider Identifier is 1467976506, issued on Jul 31, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 31, 2017.