Provider Demographics
NPI:1952733123
Name:VOCCOLA, JAMIE JENNIFER (RN, PNP)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:JENNIFER
Last Name:VOCCOLA
Suffix:
Gender:F
Credentials:RN, PNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:32 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2618
Mailing Address - Country:US
Mailing Address - Phone:973-377-2083
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:PEDIATRIC DAY HOSPITAL, 9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-5951
Practice Address - Fax:212-717-3107
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-381557363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics