Individual
JACQUELINE MICHALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
601 ELMWOOD AVE # 619-736, ROCHESTER, NY 14642-0001
(585) 275-5276
Mailing address
2967 COUNTY ROAD 37, BLOOMFIELD, NY 14469-9546
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
431505
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431505
NY
Other
Enumeration date
06/18/2019
Last updated
06/30/2023
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