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

Individual provider Contractor · NPI 1841619913

Mrs. Jaclyn Elena Bannister, MSSPED is a Contractor in East Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

3055 71st St #1
East Elmhurst, NY 11370-1412
Phone: (347) 556-4013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 445735 (NY)

Record details

NPI number1841619913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSPED
Sole proprietorYes
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 15, 2014

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