Individual
JACQUELINE T NASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
675
NY
367A00000X
Advanced Practice Midwife
Primary
F000675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975873
—
NY
01
—
7751220
AETNA
NY
01
—
MDF449
PREFERRED CARE
NY
01
—
P010000675
BLUE CHOICE
NY
Enumeration date
07/04/2006
Last updated
07/05/2023
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