Individual provider · Type 1 NPI
Marie Jacques, NP
Family Nurse Practitioner · St. Albans, NY
NPI number
1770839151
Active
Practice location
20003 Linden Blvd
St. Albans, NY 11412-3223
Mailing address
1 Ford Dr S
Massapequa, NY 11758-3717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 337440 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1770839151
Marie Jacques, NP's National Provider Identifier is 1770839151, issued on Aug 3, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Albans, NY. The record was last updated on Oct 15, 2024.