Search › New York › 363LA2100X
Jacqueline Wilson, AGACNP
NPI 1912681644 · on the registry since 2023 · sole proprietor
Practice
- Address
- 49 N Ocean Ave
Ronkonkoma, NY 11779 - Phone
- (631) 487-8997
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-13
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