MRS. Jackie Renee Stines, RN

NPI #1336452663 in Farmingville, New York

Provider Information

NPI Number
1336452663
Entity Type
Individual
Name
MRS. Jackie Renee Stines, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jul 15, 2010
Last Updated
Jul 15, 2010

Practice Location

Address
93 OAKLAWN AVE
ZIP Code
11738-2544
Phone
(631) 698-8059

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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