Mrs Jacqueline Marie Iannacone, PMHNP-BC, CARN | |
2640 Highway 70 Bldg 7a, Manasquan, NJ 08736-2609 | |
(347) 302-3514 | |
Not Available |
Full Name | Mrs Jacqueline Marie Iannacone |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2640 Highway 70 Bldg 7a, Manasquan, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316675531 | NPI | - | NPPES |
26NJ01352900 | Other | NJ | ADVANCED PRACTICE NURSE - RESIDENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01352900 (New Jersey) | Primary |
Entity Name | Jersey Shore Mental Wellness Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770369647 PECOS PAC ID: 5193170199 Enrollment ID: O20231011002193 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacqueline Marie Iannacone, PMHNP-BC, CARN 382 Atlantis Ave, Manahawkin, NJ 08050-2068 Ph: (347) 302-3514 | Mrs Jacqueline Marie Iannacone, PMHNP-BC, CARN 2640 Highway 70 Bldg 7a, Manasquan, NJ 08736-2609 Ph: (347) 302-3514 |
Corina M Ianculovici, APRN, AG-PCP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2640 Hwy 70, Bldg.5, Building #5, Suite 102b, Manasquan, NJ 08736 Phone: 732-292-0100 Fax: 732-292-0900 | |
Mrs. Megan Skinner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1707 Atlantic Ave, Manasquan, NJ 08736 Phone: 732-528-0760 | |
Ashley Bechtle, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2640 Highway 70 Bldg 7a, Manasquan, NJ 08736 Phone: 732-581-4726 | |
Jessica Anne Kerley, APN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Parker Ave, Manasquan, NJ 08736 Phone: 732-974-8100 Fax: 732-974-9125 | |
Mrs. Suzanne Elizabeth Floyd, APN, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2640 Highway 70 Ste 24, Manasquan, NJ 08736 Phone: 732-223-1440 | |
Barbara B. Lutz, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2671 Highway 70, Manasquan, NJ 08736 Phone: 732-528-6999 Fax: 732-528-3397 |