Jamie Nicole Iacobelli, R.N.
Registered Nurse in Brentwood, NY. Individual provider (NPI-1).
NPI number1881998698
StatusActive
Last updated in NPPESDec 19, 2019
Details
- NPI
- 1881998698
- Entity type
- Individual (NPI-1)
- Name
- Jamie Nicole Iacobelli
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2011
- Certification date
- Dec 19, 2019
- Last updated
- Dec 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 783743 | NY | Yes |
| 164W00000X | Licensed Practical Nurse | 303858-1 | NY |
Practice location
998 Crooked Hill RdBrentwood, NY 11717-1019
Phone 631-761-3500
Mailing address
998 Crooked Hill RdBrentwood, NY 11717-1019
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