person
Jaclyn Basso, MS,RN,CPNP
Pediatric Nurse Practitioner in Hawthorne, New York
NPI 1912396219

Jaclyn Basso is a Pediatric Nurse Practitioner based in Hawthorne, NY and is specialized in Pediatrics. Jaclyn Basso practices in Hawthorne, NY and has the professional credentials of MS,RN,CPNP. The NPI Number for Jaclyn Basso is 1912396219 and holds a License No. 382226 (New York).

The current practice location address for Jaclyn Basso is 19 Bradhurst Ave, Hawthorne, NY and can be reached out via phone at 914-493-7997 and via fax at 914-594-4022.

Location: 19 Bradhurst Ave, Hawthorne, NY, 10532-7507
person
Provider Profile Details
NPI Number
1912396219
Provider Name
Jaclyn Basso
Credential
MS,RN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
19 Bradhurst Ave, Hawthorne, NY, 10532-7507
Phone Number
914-493-7997
Fax Number
914-594-4022
Provider Enumeration Date
01/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19 Bradhurst Ave
City
State
Zip
10532-2140
Phone Number
914-493-7997
Fax Number
914-594-4022
person
Provider Business Mailing Address Details
Address
19 Bradhurst Ave
City
State
Zip
10532-2140
Phone Number
914-493-7997
Fax Number
914-594-4022
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
382226 (New York)
Definition
Definition to come...
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