Individual
JACQUELYN REGINA ZAGONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12 W WILLOW ST, WENONAH, NJ 08090-1850
(856) 571-2139
Mailing address
12 W WILLOW ST, WENONAH, NJ 08090-1850
(856) 571-2139
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14846000
NJ
Other
Enumeration date
06/07/2023
Last updated
08/07/2024
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