Search › New York › 363LF0000X
Jaclyn Boggs, NP
NPI 1184391088 · on the registry since 2021
Practice
- Address
- 11714 197th St # 2
Saint Albans, NY 11412 - Phone
- (772) 267-0331
Additional practice sites
- 327 Beach 19th St # T310, Far Rockaway, NY
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X
363L00000X - Licence states on file
- NY, ID, DE, MI, ND, IA, KS, FL, CO, ME, CT, MT, IL, HI, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York