Individual provider · Type 1 NPI
Jacqueline S. Phillip
Nurse Practitioner · Staten Island, NY
Practice location
1915 Forest Ave
Staten Island, NY 10303-2127
Mailing address
42 Hancock Ln
Manalapan, NJ 07726-8911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F405202-1 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1821879867
Jacqueline S. Phillip's National Provider Identifier is 1821879867, issued on Oct 6, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 6, 2023.