Active NPIIndividual providerSole proprietor

Jaclyn O'Donohue

Nurse Practitioner in Floral Park, New York

NPI Number1538037338
Practice location
15 Fern St, Floral Park, NY 11001-3207
Fax
—
Last updated
October 24, 2025

Jaclyn O'Donohue is a Nurse Practitioner based in Floral Park, NY. Jaclyn O'Donohue practices in Floral Park, NY. The NPI Number for Jaclyn O'Donohue is 1538037338 and holds a License No. 312197 (NY). The current practice location address for Jaclyn O'Donohue is 15 Fern St, Floral Park, NY 11001-3207 and can be reached out via phone at 516-852-5134.

Provider Profile Details

NPI Number
1538037338
Provider Name
Jaclyn O'Donohue
Provider Entity Type
Individual
Gender
Female
Address
15 Fern St, Floral Park, NY 11001-3207
Phone Number
516-852-5134
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2025
Last Update Date
October 24, 2025
Certification Date
October 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Fern St
Floral Park, NY 11001-3207
Zip
11001-3207
Phone Number
516-852-5134
Floral Park, NY 11001Get directions →

Provider Business Mailing Address Details

Address
15 Fern St
Floral Park, NY 11001-3207
City
Floral Park
State
NY
Zip
11001-3207
Phone Number
516-852-5134

License Information

License Number
312197
License State
NY
Taxonomy
Nurse Practitioner · 363L00000X · 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 Jaclyn O'Donohue?

The NPI number of Jaclyn O'Donohue is 1538037338. It was assigned on October 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Jaclyn O'Donohue?

Jaclyn O'Donohue is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NY under license number 312197.

Where does Jaclyn O'Donohue practice?

The practice location is 15 Fern St, Floral Park, NY 11001-3207. The office can be reached at 516-852-5134 (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 1538037338 directly on the NPPES registry website.

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