Individual
JACQUELINE NICOLE CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS PMHNP
Contact information
Practice address
325 COLUMBIA ST, HUDSON, NY 12534-1902
(518) 828-9446
(518) 828-9450
Mailing address
54 ROUTE 23, CLAVERACK, NY 12513-5137
(518) 821-8076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
581496-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403370
NY
Other
Enumeration date
11/24/2020
Last updated
01/14/2021
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