Individual provider · Type 1 NPI
Jacqueline J. Bishop, FNP
Family Nurse Practitioner · Port Jefferson, NY
NPI number
1609416940
Active
Practice location
200 Belle Terre Rd Ste 200
Port Jefferson, NY 11777-1928
Mailing address
628 Blue Point Rd
Holtsville, NY 11742-1812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F344390 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609416940
Jacqueline J. Bishop, FNP's National Provider Identifier is 1609416940, issued on Jan 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jun 24, 2020.