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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN NICOLE CHURCHILL

Active

JACLYN NICOLE CHURCHILL is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1568695807 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NEW YORK, NY

Registration Details

NPI Number
1568695807
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2009 (16.93532494907 yrs)
Last Updated
Feb 2, 2023
License
PA 9104938 (FL)

Practice Information

Address
200 W 58TH ST
NEW YORK, NY, 100191476
Browse NY providers · Browse ZIP 10019
Phone
2127577010
Fax
2123070759
Primary Specialty
Physician Assistant
363A00000X

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DONNA SILVERNAIL PA 1134126162
JONATHAN FISHER PA 1043218282
ROCCO MICHAEL RACANELLI PA 1073509550
MS. THERESA LEE RAYMOND PA-C 1518954635
MRS. YOLANDE THOMAS-ELLIS PA-C 1932197373
DENISE L WINICK PAC 1255320073
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.