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Jaclyn Kristin Shea
Family Nurse Practitioner in Medford, New York
NPI 1861168411

Jaclyn Kristin Shea is a Family Nurse Practitioner based in Blue Point, NY and is specialized in Family. Jaclyn Kristin Shea practices in Medford, NY. The NPI Number for Jaclyn Kristin Shea is 1861168411 and holds a License No. 348300 (New York).

The current practice location address for Jaclyn Kristin Shea is 1723 N Ocean Ave, Medford, NY and can be reached out via phone at 631-758-5858.

Location: 1723 N Ocean Ave, Medford, NY, 11715-1108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861168411
Provider Name
Jaclyn Kristin Shea
Credential
Provider Entity Type
Individual
Gender
Female
Address
1723 N Ocean Ave, Medford, NY, 11715-1108
Phone Number
631-758-5858
Fax Number
Provider Enumeration Date
08/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1723 N Ocean Ave
City
Medford
State
New York
Zip
11763-2687
Phone Number
631-758-5858
Fax Number
person
Provider Business Mailing Address Details
Address
1723 N Ocean Ave
City
Medford
State
New York
Zip
11763-2687
Phone Number
631-758-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
348300 (New York)
Definition
Definition to come...
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