Individual provider · Type 1 NPI
Jacqueline Wilson, AGACNP
Acute Care Nurse Practitioner · Ronkonkoma, NY
NPI number
1912681644
Active
Practice location
49 N Ocean Ave
Ronkonkoma, NY 11779-5015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 432663 (NY) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1912681644
Jacqueline Wilson, AGACNP's National Provider Identifier is 1912681644, issued on Jun 13, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ronkonkoma, NY. The record was last updated on Jun 13, 2023.