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

Jaclyn Roseann Cuccinello, NP

Individual provider Registered Nurse · NPI 1043476237

Jaclyn Roseann Cuccinello, NP is a Registered Nurse in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5225 Rte 347 Ste 70
Port Jefferson Station, NY 11776-2061
Phone: (631) 331-8777
Fax: (631) 474-9169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence F421258-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 565107 (NY)

Record details

NPI number1043476237
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 6, 2008
Last updated in NPPESJuly 11, 2019

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