Boggs, Jaclyn Nicole

Boggs, Jaclyn Nicole is an individual health care provider with primary practice located at 11714 197Th St # 2 , Saint Albans NY 11412-3454. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boggs, Jaclyn Nicole can be contacted via phone (772) 267-0331.

Contact Information

Primary practice address
11714 197Th St # 2 Saint Albans NY 11412-3454
Phone: (772) 267-0331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 703222 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348277 New York

Profile Details

NPI number 1184391088
LBN Legal business name Boggs, Jaclyn Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2021
Last updated Feb 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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