Jaclyn Kristin Shea
Jaclyn Kristin Shea is a Nurse Practitioner in Medford, New York. Qualified in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
1723 N Ocean AveMedford, NY 11763-2687
Phone: (631) 758-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 348300 (NY) |
|---|
Record details
| NPI number | 1861168411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2021 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | March 10, 2022 |
| Mailing address | 7 Corky Ct, Blue Point, NY 11715-1108 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Medford
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Jill Farrell, NP
1743 N Ocean Ave, Medford, NY 11763-2649 · (631) 758-3100
-
Danielle Parnell
1723 N Ocean Ave, Medford, NY 11763-2687 · (631) 758-5858
-
Lauren Standridge, FNP-BC
1723 N Ocean Ave Ste A, Medford, NY 11763-2687 · (631) 758-5858