Individual provider · Type 1 NPI
Jacqueline Mattera, RN
Home Health Registered Nurse · South Setauket, NY
NPI number
1699476408
Active
Practice location
17 Sunflower Ridge Rd
South Setauket, NY 11720-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 746336 (NY) |
Home Health Registered Nurse: Definition to come...
About NPI 1699476408
Jacqueline Mattera, RN's National Provider Identifier is 1699476408, issued on Mar 17, 2023. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in South Setauket, NY. The record was last updated on Mar 17, 2023.