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Jaclyn M Nelson, FNP
Family Nurse Practitioner in Bay Shore, New York
NPI 1801392683

Jaclyn M Nelson is a Family Nurse Practitioner based in Northport, NY and is specialized in Family. Jaclyn M Nelson practices in Bay Shore, NY and has the professional credentials of FNP. The NPI Number for Jaclyn M Nelson is 1801392683 and holds a License No. 342618 (New York).

The current practice location address for Jaclyn M Nelson is 250 E Main St, Bay Shore, NY and can be reached out via phone at 631-390-7100.

Location: 250 E Main St, Bay Shore, NY, 11768-3442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801392683
Provider Name
Jaclyn M Nelson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
250 E Main St, Bay Shore, NY, 11768-3442
Phone Number
631-390-7100
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
250 E Main St
City
Bay Shore
State
New York
Zip
11706-8442
Phone Number
631-390-7100
Fax Number
person
Provider Business Mailing Address Details
Address
250 E Main St
City
Bay Shore
State
New York
Zip
11706-8442
Phone Number
631-390-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
342618 (New York)
Definition
Definition to come...
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