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Jacqueline Diane Lilly, PHDAPRNBC
Clinical Nurse Specialist in Oswego, New York
NPI 1114035516

Jacqueline Diane Lilly is a Clinical Nurse Specialist based in Oswego, NY. Jacqueline Diane Lilly practices in Oswego, NY and has the professional credentials of PHDAPRNBC. The NPI Number for Jacqueline Diane Lilly is 1114035516 and holds a License No. RN2539751 (New York).

The current practice location address for Jacqueline Diane Lilly is 102 West Utica Street, Oswego, NY and can be reached out via phone at 315-342-2450.

Location: 102 West Utica Street, Oswego, NY, 13126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114035516
Provider Name
Jacqueline Diane Lilly
Credential
PHDAPRNBC
Provider Entity Type
Individual
Gender
Female
Address
102 West Utica Street, Oswego, NY, 13126
Phone Number
315-342-2450
Fax Number
Provider Enumeration Date
08/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7493000 01 VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
102 West Utica Street
City
Oswego
State
New York
Zip
13126
Phone Number
315-342-2450
Fax Number
person
Provider Business Mailing Address Details
Address
102 West Utica Street
City
Oswego
State
New York
Zip
13126
Phone Number
315-342-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
RN2539751 (New York)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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