NPI 1114035516

Jacqueline Diane Lilly, PHDAPRNBC

Practitioner Clinical Nurse Specialist Oswego, NY

Practice location

Address: 102 West Utica Street, Oswego, NY 13126
Phone: (315) 342-2450

Registered specialties

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence RN2539751 (NY)

Other Clinical Nurse Specialist providers in New York →

Registry record

NPI: 1114035516
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2006
Record last updated: 17 Oct 2007

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.