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Jacqueline Anne Colonna
Licensed Practical Nurse in Mastic, New York
NPI 1023248044

Jacqueline Anne Colonna is a Licensed Practical Nurse based in Mastic, NY. Jacqueline Anne Colonna practices in Mastic, NY. The NPI Number for Jacqueline Anne Colonna is 1023248044 and holds a License No. 296672 (New York).

The current practice location address for Jacqueline Anne Colonna is 21 Montgomery Ave, Mastic, NY and can be reached out via phone at 631-466-2631.

Location: 21 Montgomery Ave, Mastic, NY, 11950-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023248044
Provider Name
Jacqueline Anne Colonna
Credential
Provider Entity Type
Individual
Gender
Female
Address
21 Montgomery Ave, Mastic, NY, 11950-2603
Phone Number
631-466-2631
Fax Number
Provider Enumeration Date
07/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21 Montgomery Ave
City
Mastic
State
New York
Zip
11950-2603
Phone Number
631-466-2631
Fax Number
person
Provider Business Mailing Address Details
Address
21 Montgomery Ave
City
Mastic
State
New York
Zip
11950-2603
Phone Number
631-466-2631
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
296672 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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