IndividualActive
Jacqueline Bacchus-Waite
NPI 1386017978 · Nurse's Aide · Elmont, NY
Provider details
- NPI number
- 1386017978
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 343745491015R (NY)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
13 Parkview Pl
Elmont, NY 11003-4817
Phone: (305) 879-5945
Approximate (ZIP-level) locationGet directions
Mailing address
13 Parkview Pl
Elmont, NY 11003-4817
Registry dates
- Enumerated
- 2015-11-04
- Last updated
- 2015-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.