Individual
JACQUELINE BIONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP 107501
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001330B
—
KS
05
—
429191000
—
MO
01
—
466390
FIRST GUARD
MO
Enumeration date
06/04/2006
Last updated
04/30/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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