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

Jacqueline Anne Colonna

Individual provider Licensed Practical Nurse · NPI 1023248044

Jacqueline Anne Colonna is a Licensed Practical Nurse in Mastic, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

21 Montgomery Ave
Mastic, NY 11950-2603
Phone: (631) 466-2631
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 296672 (NY)

Record details

NPI number1023248044
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2009
Last updated in NPPESJuly 24, 2009

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