IndividualActive
Jaquilo Bottini
NPI 1003327727 · Home Health Registered Nurse · Teaneck, NJ
Provider details
- NPI number
- 1003327727
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26NH11329800 (NJ)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
764 Palisade Ave Ste 2b
Teaneck, NJ 07666-3129
Phone: (973) 955-9118
Fax: (201) 537-5478
Approximate (ZIP-level) locationGet directions
Mailing address
764 Palisade Ave Ste 2b
Teaneck, NJ 07666-3129
Registry dates
- Enumerated
- 2017-10-20
- Last updated
- 2022-11-14
- Certified
- 2021-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.