Most Relevant Information
Provider Data
| NPI Number: | 1003500513 |
| Provider Name: | JACQUELYN REGINA ZAGONE PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ14846000 |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 08/07/2024 |
Provider Practice Location
12 W WILLOW ST
WENONAH
NJ
080901850
Practice Location Phone/Fax
| Phone: | 8565712139 |
| Fax: |
Provider Mailing Location
12 W WILLOW ST
WENONAH
NJ
080901850
Provider Mailing Phone/Fax
| Phone: | 8565712139 |
| Fax: |