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

Jacqueline Li

Individual provider Adult Health Nurse Practitioner · NPI 1336964873

Jacqueline Li is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

560 1st Ave
New York, NY 10016-6402
Phone: (646) 501-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 462 1st Ave, New York, NY 10016-9196 — (212) 562-3917

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311975 (NY)

Record details

NPI number1336964873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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