JACKIE LYNN SPAGNUOLO NP
NPI 1346950060
Nurse Practitioner - Adult Health in Staten Island, NY

Active since December 05, 2022
116 LAMBERTS LN, STATEN ISLAND, NY 10314(718) 619-5867 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Lynn Spagnuolo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE LYNN SPAGNUOLO NP (NPI 1346950060) is an individual adult health provider in Staten Island, New York, licensed in New York (F31110201) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1346950060
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACKIE LYNN SPAGNUOLOCredential: NP
Location Address116 LAMBERTS LNStaten Island, NY 10314-7210
Mailing Address50 Lynbrook AveStaten Island, NY 10309-4509 · (718) 619-5867
Sole ProprietorYes
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 3, 2022
NPI 1346950060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F31110201
116 LAMBERTS LN, Staten Island, NY 10314

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
116 LAMBERTS LN
STATEN ISLAND, NY 10314
Physician Assistant
116 LAMBERTS LN
STATEN ISLAND, NY 10314
Dermatology
116 LAMBERTS LN
STATEN ISLAND, NY 10314
Physician Assistant
116 LAMBERTS LN
STATEN ISLAND, NY 10314
Otolaryngology (Facial Plastic Surgery)
116 LAMBERTS LN
STATEN ISLAND, NY 10314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Spagnuolo's NPI number?

The NPI number for Jackie Spagnuolo is 1346950060. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Jackie Spagnuolo located?

Jackie Spagnuolo practices at 116 Lamberts Ln, Staten Island, NY 10314. The listed phone number is (718) 619-5867.

What is Jackie Spagnuolo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jackie Spagnuolo was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.