Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE KATHLEEN BACCHUS-WAITE
Active Sole ProprietorNurse's Aide · ELMONT, NY
Registration Details
- NPI Number
- 1386017978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2015 (10.479783374301 yrs)
- Last Updated
- Nov 4, 2015
- License
-
343745491015R (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13 PARKVIEW PLELMONT, NY, 110034817Browse NY providers · Browse ZIP 11003
- Phone
- 3058795945
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.