Krystyna De Jacq, NP
Nurse Practitioner, Psych/Mental Health in Mamaroneck, New York
1568790152- Practice location
- 709 Palmer CT Apt 2E, Mamaroneck, NY 10543-2442
- Phone
- 917-513-0273
- Fax
- —
- Last updated
- April 13, 2023
Krystyna De Jacq is a Nurse Practitioner, Psych/Mental Health based in Mamaroneck, NY. Krystyna De Jacq practices in Mamaroneck, NY and has the professional credentials of NP. The NPI Number for Krystyna De Jacq is 1568790152 and holds a License No. 401238 (NY). The current practice location address for Krystyna De Jacq is 709 Palmer CT Apt 2E, Mamaroneck, NY 10543-2442 and can be reached out via phone at 917-513-0273.
Provider Profile Details
- NPI Number
- 1568790152
- Provider Name
- Krystyna De Jacq
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 709 Palmer CT Apt 2E, Mamaroneck, NY 10543-2442
- Phone Number
- 917-513-0273
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 20, 2009
- Last Update Date
- April 13, 2023
- Certification Date
- April 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 709 Palmer CT Apt 2E
Mamaroneck, NY 10543-2442 - City
- Mamaroneck
- State
- New York
- Zip
- 10543-2442
- Phone Number
- 917-513-0273
Provider Business Mailing Address Details
- Address
- 709 Palmer CT Apt 2E
Mamaroneck, NY 10543-2442 - City
- Mamaroneck
- State
- NY
- Zip
- 10543-2442
- Phone Number
- 917-513-0273
License Information
- License Number (1)
- 401238
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 401238
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Mamaroneck, NY
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Frequently Asked Questions
What is the NPI number of Krystyna De Jacq, NP?
The NPI number of Krystyna De Jacq, NP is 1568790152. It was assigned on November 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Krystyna De Jacq, NP?
Krystyna De Jacq, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 401238.
Where does Krystyna De Jacq, NP practice?
The practice location is 709 Palmer CT Apt 2E, Mamaroneck, NY 10543-2442. The office can be reached at 917-513-0273 (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 1568790152 directly on the NPPES registry website.