Individual provider · Type 1 NPI

Jacqueline Bouvier Wigfall, FNP

Family Nurse Practitioner · Bronx, NY

NPI number 1689128886 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Fax (718) 299-6797

Mailing address

1434 Williamsbridge Rd Fl 2
Bronx, NY 10461-2507

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF340916 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1689128886

Jacqueline Bouvier Wigfall, FNP's National Provider Identifier is 1689128886, issued on Aug 5, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Jun 26, 2020.