person
Jaclyn Lasita, RN,PNP
Pediatric Nurse Practitioner in Blue Point, New York
NPI 1235790577

Jaclyn Lasita is a Pediatric Nurse Practitioner based in Rocky Point, NY and is specialized in Pediatrics. Jaclyn Lasita practices in Blue Point, NY and has the professional credentials of RN,PNP. The NPI Number for Jaclyn Lasita is 1235790577 and holds a License No. 745257 (New York).

The current practice location address for Jaclyn Lasita is 263 Blue Point Ave, Blue Point, NY and can be reached out via phone at 631-419-6737.

Location: 263 Blue Point Ave, Blue Point, NY, 11778-9579
person
Provider Profile Details
NPI Number
1235790577
Provider Name
Jaclyn Lasita
Credential
RN,PNP
Provider Entity Type
Individual
Gender
Female
Address
263 Blue Point Ave, Blue Point, NY, 11778-9579
Phone Number
631-419-6737
Fax Number
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Blue Point Ave
City
State
Zip
11715-1224
Phone Number
631-419-6737
Fax Number
person
Provider Business Mailing Address Details
Address
263 Blue Point Ave
City
State
Zip
11715-1224
Phone Number
631-419-6737
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
F383584 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
745257 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
745257 (New York)
Definition
Definition to come...
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