NPI 1972036333 · live from the CMS NPI Registry
Jaclyn C Abrahall, FNP-C, CDCES
Nurse Practitioner, Family in Hauppauge, NY. National Provider Identifier 1972036333, active.
NPI record
| NPI | 1972036333 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 200 Motor Pkwy Ste C-16, Hauppauge, NY 11788 |
| Practice phone | 631-638-4933 |
| Enumerated | April 4, 2017 |
| Last updated | January 6, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator | 163WD0400X | 695786 (NY) |
| Nurse Practitioner, Family primary | 363LF0000X | 343035 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.