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Jaclyn Tiernan, RN
Pediatric Registered Nurse in Farmingville, New York
NPI 1538740469

Jaclyn Tiernan is a Pediatric Registered Nurse based in Farmingville, NY and is specialized in Pediatrics. Jaclyn Tiernan practices in Farmingville, NY and has the professional credentials of RN. The NPI Number for Jaclyn Tiernan is 1538740469 and holds a License No. 702849 (New York).

The current practice location address for Jaclyn Tiernan is 55A S Howell Ave, Farmingville, NY and can be reached out via phone at 631-993-1336.

Location: 55A S Howell Ave, Farmingville, NY, 11738-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538740469
Provider Name
Jaclyn Tiernan
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
55A S Howell Ave, Farmingville, NY, 11738-1138
Phone Number
631-993-1336
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55A S Howell Ave
City
Farmingville
State
New York
Zip
11738-1138
Phone Number
631-993-1336
Fax Number
person
Provider Business Mailing Address Details
Address
55A S Howell Ave
City
Farmingville
State
New York
Zip
11738-1138
Phone Number
631-993-1336
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
702849 (New York)
Definition
Definition to come...
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