Jaclyn Kristin Shea

NPI #1861168411 in Medford, New York

Provider Information

NPI Number
1861168411
Entity Type
Individual
Name
Jaclyn Kristin Shea
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 23, 2021
Last Updated
Mar 10, 2022

Practice Location

Address
1723 N OCEAN AVE
ZIP Code
11763-2687
Phone
(631) 758-5858

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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