Individual provider · Type 1 NPI

Jacqueline Beth Riley, NP

Adult Health Nurse Practitioner · Plattsburgh, NY

NPI number 1639389802 Active

Practice location

159 Margaret St, Suite 600
Plattsburgh, NY 12901-1874

Fax (518) 563-2094

Mailing address

31 Smokey Ridge Rd
Plattsburgh, NY 12901-6161

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X304711 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1639389802

Jacqueline Beth Riley, NP's National Provider Identifier is 1639389802, issued on May 23, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Plattsburgh, NY. The record was last updated on Aug 7, 2007.