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

Jacqueline Medina, RN

Individual provider Registered Nurse · NPI 1639886781

Jacqueline Medina, RN is a Registered Nurse in Deer Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

127 W 8th St
Deer Park, NY 11729-5015
Phone: (631) 838-1504
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 858734-01 (NY)

Record details

NPI number1639886781
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 28, 2022
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022

Other providers in Deer Park