Jacqueline Anderson
Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1154981900
StatusActive
Last updated in NPPESJun 14, 2019
Details
- NPI
- 1154981900
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2019
- Last updated
- Jun 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 428827 | NY | Yes |
Practice location
668 E 84th StBrooklyn, NY 11236-3428
Phone 718-828-2666
Mailing address
668 E 84th StBrooklyn, NY 11236-3428
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