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Mrs. Jacqueline Marie Iannacone, PMHNP-BC,CARN
Psychiatric/Mental Health Nurse Practitioner in Manasquan, New Jersey
NPI 1316675531

Jacqueline Marie Iannacone is a Psychiatric/Mental Health Nurse Practitioner based in Manahawkin, NJ and is specialized in Psychiatric/Mental Health. 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 (New Jersey).

The current practice location address for Jacqueline Marie Iannacone is 2640 Highway 70 Bldg 5, Manasquan, NJ and can be reached out via phone at 732-581-4726.

Location: 2640 Highway 70 Bldg 5, Manasquan, NJ, 08050-2068
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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 5, Manasquan, NJ, 08050-2068
Phone Number
732-581-4726
Fax Number
Provider Enumeration Date
08/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26NJ01352900 01 NJ ADVANCED PRACTICE NURSE - RESIDENT
institution
Provider Business Practice Location Address Details
Address
2640 Highway 70 Bldg 5
City
State
Zip
08736-2609
Phone Number
732-581-4726
Fax Number
person
Provider Business Mailing Address Details
Address
2640 Highway 70 Bldg 5
City
State
Zip
08736-2609
Phone Number
732-581-4726
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26NJ01352900 (New Jersey)
Definition
Definition to come...
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