JACQUELINE WILSON

RONKONKOMA, NY
NPI1912681644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  432663)
Enumeration Date2023-06-13
Last Update Date2023-06-13
Business Address
JACQUELINE WILSON AGACNP
49 N OCEAN AVE
RONKONKOMA, NY 11779-5015
Phone number: 631-487-8997
Mailing Address
JACQUELINE WILSON AGACNP
49 N OCEAN AVE
RONKONKOMA, NY 11779-5015
Phone number: 631-487-8997