NPI 1003054032

Jacqueline Maddie, RN

Practitioner Registered Nurse Farmingdale, NY

Practice location

Address: 22 Avenue I, Farmingdale, NY 11735-1610
Phone: (631) 756-0225

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 415108 (NY)

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Registry record

NPI: 1003054032
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2009
Record last updated: 29 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.