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

Jaclyn Tiernan, RN

Individual provider Pediatric Registered Nurse · NPI 1538740469

Jaclyn Tiernan, RN is a Pediatric Registered Nurse in Farmingville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

55A S Howell Ave
Farmingville, NY 11738-1138
Phone: (631) 993-1336
Show map & directions

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

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 702849 (NY)

Record details

NPI number1538740469
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 21, 2021
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address55a S Howell Ave, Farmingville, NY 11738-1138