Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Interrant

Individual provider Physician Assistant · NPI 1851857874

Jaclyn Interrant is a Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (347) 978-2234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023686 (NY)

Record details

NPI number1851857874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2019
Last updated in NPPESJanuary 26, 2020
Certification dateJanuary 26, 2020

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