JACQUELINE MARIE IANNACONE

MANASQUAN, NJ
NPI1316675531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ01352900)
Enumeration Date2022-08-15
Last Update Date2024-08-01
Business Address
Mrs. JACQUELINE MARIE IANNACONE PMHNP-BC, CARN
2640 HIGHWAY 70 BLDG 7A
MANASQUAN, NJ 08736-2609
Phone number: 347-302-3514
Mailing Address
Mrs. JACQUELINE MARIE IANNACONE PMHNP-BC, CARN
382 ATLANTIS AVE
MANAHAWKIN, NJ 08050-2068
Phone number: 347-302-3514