Most Relevant Information
Provider Data
| NPI Number: | 1003056888 |
| Provider Name: | JACQUELINE DESIREE JOSEPH CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 5727171 |
Most Important Dates
| Enumeration Date: | 03/06/2009 |
| Last Updated: | 02/05/2024 |
Provider Practice Location
116 N HIGH ST
MOUNT VERNON
NY
105501810
Practice Location Phone/Fax
| Phone: | 9146992154 |
| Fax: |
Provider Mailing Location
564 MAIN ST
STROUDSBURG
PA
183602128
Provider Mailing Phone/Fax
| Phone: | 5704208070 |
| Fax: |