Jacquelyn Regina Zagone, PMHNP
Nurse Practitioner, Psych/Mental Health in Wenonah, NJ. Individual provider (NPI-1).
NPI number1003500513
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1003500513
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Regina Zagone
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2023
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ14846000 | NJ | Yes |
Practice location
12 W Willow StWenonah, NJ 08090-1850
Phone 856-571-2139
Mailing address
12 W Willow StWenonah, NJ 08090-1850
Phone 856-571-2139
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