Individual provider · Type 1 NPI

Jaclyn Tiernan, RN

Pediatric Registered Nurse · Farmingville, NY

NPI number 1538740469 Active

Practice location

55A S Howell Ave
Farmingville, NY 11738-1138

Call (631) 993-1336 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X702849 (NY)

Pediatric Registered Nurse: Definition to come...

About NPI 1538740469

Jaclyn Tiernan, RN's National Provider Identifier is 1538740469, issued on Apr 21, 2021. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Farmingville, NY. The record was last updated on Apr 21, 2021.