Individual provider · Type 1 NPI
Jessica Marie Macchio, APN
Critical Care Medicine Nurse Practitioner · Ridgewood, NJ
NPI number
1548972045
Active
Practice location
233 N Van Dien Ave
Ridgewood, NJ 07450-2700
Mailing address
199 Lambert Ave
Northvale, NJ 07647-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 26NR19875700 (NJ) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 26NJ01448000 (NJ) |
Critical Care Medicine Nurse Practitioner: Definition to come...
About NPI 1548972045
Jessica Marie Macchio, APN's National Provider Identifier is 1548972045, issued on Dec 16, 2022. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Ridgewood, NJ. The record was last updated on Jul 8, 2023.