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

Jacqueline Diane Lilly, PHDAPRNBC

Individual provider Clinical Nurse Specialist · NPI 1114035516

Jacqueline Diane Lilly, PHDAPRNBC is a Certified Clinical Nurse Specialist (Cns) in Oswego, New York. Qualified in 1973, 53 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
53
Licensed in
NY
In the registry since
2006

Practice location Address checks out

102 W Utica St
Oswego, NY 13126
Phone: (315) 342-2450
Show map & directions

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

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence RN2539751 (NY)

Record details

NPI number1114035516
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDAPRNBC
Sole proprietorNo
NPI enumeratedAugust 26, 2006
Last updated in NPPESOctober 17, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services