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JACKLYN SANDRA BERGAN
NPI 1366274896
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since August 14, 2024
5 FRANK CT, STATEN ISLAND, NY 10312(929) 394-4151 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacklyn Sandra Bergan NPPES

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

JACKLYN SANDRA BERGAN (NPI 1366274896) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1366274896
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKLYN SANDRA BERGAN
Location Address5 FRANK CTStaten Island, NY 10312-2465
Mailing Address5 Frank CtStaten Island, NY 10312-2465 · (929) 394-4151
Phone(929) 394-4151
Sole ProprietorYes
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1366274896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5 FRANK CT, Staten Island, NY 10312
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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 Jacklyn Bergan's NPI number?

The NPI number for Jacklyn Bergan is 1366274896. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Jacklyn Bergan located?

Jacklyn Bergan practices at 5 Frank Ct, Staten Island, NY 10312. The listed phone number is (929) 394-4151.

What is Jacklyn Bergan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacklyn Bergan was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.