Organization
JACQUELYN ZAGONE, APN, PMHNP-BC PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN REGINA ZAGONE APN, PMHNP-BC (OWNER)
(856) 571-2139
Entity
Organization
Contact information
Practice address
123 EGG HARBOR RD STE 800, SEWELL, NJ 08080-9409
(856) 689-7616
(866) 521-4015
Mailing address
12 W WILLOW ST, WENONAH, NJ 08090-1850
(856) 571-2139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/31/2024
Last updated
03/26/2026
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