Individual provider · Type 1 NPI

Jacqueline Fagoni, NP-C

Family Nurse Practitioner · Staten Island, NY

NPI number 1801276118 Active

Practice location

1361 Hylan Blvd
Staten Island, NY 10305-1902

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X26NJ00567900 (NJ)
Family Nurse Practitioner Primary 363LF0000X33339339 (NY)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1801276118

Jacqueline Fagoni, NP-C's National Provider Identifier is 1801276118, issued on Jun 2, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 30, 2016.