Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE WILSON, AGACNP
Active Sole ProprietorJACQUELINE WILSON, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in RONKONKOMA, New York. NPI 1912681644 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · RONKONKOMA, NY
Registration Details
- NPI Number
- 1912681644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2023 (3.1865969880729 yrs)
- Last Updated
- Jun 13, 2023
- License
-
432663 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
49 N OCEAN AVERONKONKOMA, NY, 117795015Browse NY providers · Browse ZIP 11779
- Phone
- 6314878997
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
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.