Jacqueline Wilson, AGACNP
Jacqueline Wilson, AGACNP is an Acute Care Nurse Practitioner in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
49 N Ocean AveRonkonkoma, NY 11779-5015
Phone: (631) 487-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 432663 (NY) |
|---|
Record details
| NPI number | 1912681644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2023 |
| Last updated in NPPES | June 13, 2023 |
| Certification date | June 13, 2023 |