JACQUELINE MATTERA RN NPI 1699476408

NPI Information

NPI: 1699476408
Provider Name: JACQUELINE MATTERA, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
17 SUNFLOWER RIDGE RD
SOUTH SETAUKET, NY
ZIP 11720
Phone: (631) 252-6930
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Jacqueline Mattera, RN is a home health registered nurse in South Setauket, NY. Jacqueline Mattera, RN NPI is 1699476408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 SUNFLOWER RIDGE RD
SOUTH SETAUKET, NY
ZIP 11720-701
Phone: (631) 252-6930

The enumeration date for this NPI number is 3/17/2023 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	746336	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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