MRS. Jacqueline Marie Iannacone, PMHNP-BC, CARN
NPI #1316675531 in Manasquan, New Jersey
Provider Information
- NPI Number
- 1316675531
- Entity Type
- Individual
- Name
- MRS. Jacqueline Marie Iannacone, PMHNP-BC, CARN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC, CARN
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Aug 1, 2024
Practice Location
- Address
- 2640 HIGHWAY 70 BLDG 7A
- City
- Manasquan
- State
- New Jersey
- ZIP Code
- 08736-2609
- Phone
- (347) 302-3514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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