Active NPIIndividual providerSole proprietor

Mrs. Jacqueline M Iannacone, PMHNP-BC, CARN

Nurse Practitioner, Psych/Mental Health in Manasquan, New Jersey

NPI Number1316675531
Practice location
2640 Highway 70 Bldg 7A, Manasquan, NJ 08736-2609
Fax
—
Last updated
August 1, 2024

Jacqueline Marie Iannacone is a Nurse Practitioner, Psych/Mental Health based in Manasquan, NJ. Jacqueline Marie Iannacone practices in Manasquan, NJ and has the professional credentials of PMHNP-BC, CARN. The NPI Number for Jacqueline Marie Iannacone is 1316675531 and holds a License No. 26NJ01352900 (NJ). The current practice location address for Jacqueline Marie Iannacone is 2640 Highway 70 Bldg 7A, Manasquan, NJ 08736-2609 and can be reached out via phone at 347-302-3514.

Provider Profile Details

NPI Number
1316675531
Provider Name
Jacqueline Marie Iannacone
Credential
PMHNP-BC, CARN
Provider Entity Type
Individual
Gender
Female
Address
2640 Highway 70 Bldg 7A, Manasquan, NJ 08736-2609
Phone Number
347-302-3514
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2022
Last Update Date
August 1, 2024
Certification Date
August 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2640 Highway 70 Bldg 7A
Manasquan, NJ 08736-2609
Zip
08736-2609
Phone Number
347-302-3514
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
382 Atlantis Ave
Manahawkin, NJ 08050-2068
City
Manahawkin
State
NJ
Zip
08050-2068
Phone Number
347-302-3514

License Information

License Number
26NJ01352900
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jacqueline M Iannacone, PMHNP-BC, CARN?

The NPI number of Mrs. Jacqueline M Iannacone, PMHNP-BC, CARN is 1316675531. It was assigned on August 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jacqueline M Iannacone, PMHNP-BC, CARN?

Mrs. Jacqueline M Iannacone, PMHNP-BC, CARN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01352900.

Where does Mrs. Jacqueline M Iannacone, PMHNP-BC, CARN practice?

The practice location is 2640 Highway 70 Bldg 7A, Manasquan, NJ 08736-2609. The office can be reached at 347-302-3514 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316675531 directly on the NPPES registry website.

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