Provider Demographics
NPI:1336756170
Name:ARNONE, JACQUELINE MICHELE (PHD, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:MICHELE
Last Name:ARNONE
Suffix:
Gender:F
Credentials:PHD, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WINDWARD DR
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-3345
Mailing Address - Country:US
Mailing Address - Phone:732-245-4919
Mailing Address - Fax:
Practice Address - Street 1:105 WINDWARD DR
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3345
Practice Address - Country:US
Practice Address - Phone:732-245-4919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01056700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health