JACQUELYN REGINA ZAGONE PMHNP NPI 1003500513

NPI Information

  • NPI: 1003500513
  • Provider Name: JACQUELYN REGINA ZAGONE, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12 W WILLOW ST
    WENONAH, NJ
    ZIP 08090
  • Phone: (856) 571-2139

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NPI Details

Jacquelyn Regina Zagone, PMHNP is a psychiatric/mental health nurse practitioner in Wenonah, NJ. Jacquelyn Regina Zagone, PMHNP NPI is 1003500513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 W WILLOW ST
WENONAH, NJ
ZIP 08090-850
Phone: (856) 571-2139

The NPI 1003500513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2023 and was last updated on 8/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ14846000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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