Individual
MRS. MARTHE JEHANE JACQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 464-7500
Mailing address
31 ROBERTSON RD, LYNBROOK, NY 11563-3730
(917) 583-6335
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
669097-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406343
NY
Other
Enumeration date
02/05/2018
Last updated
11/22/2024
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