| Jaclyn Elizabeth Lackey, FNP-BC | |
|
1910 Hwy 35, Oakhurst, NJ 07755-2715 | |
| (732) 531-4747 | |
| Not Available |
| Full Name | Jaclyn Elizabeth Lackey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1910 Hwy 35, Oakhurst, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497058168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00313100 (New Jersey) | Primary |
| Entity Name | Spiras Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740885565 PECOS PAC ID: 8426457292 Enrollment ID: O20220727000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Elizabeth Lackey, FNP-BC 1910 Hwy 35, Oakhurst, NJ 07755-2715 Ph: (732) 531-4747 | Jaclyn Elizabeth Lackey, FNP-BC 1910 Hwy 35, Oakhurst, NJ 07755-2715 Ph: (732) 531-4747 |
Tangie Keri Calascione, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1806 Highway 35 Ste 107, Oakhurst, NJ 07755 Phone: 732-333-8030 Fax: 833-455-7605 |
Taylor Santora, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1912 Route 35 Ste 101, Oakhurst, NJ 07755 Phone: 732-222-4762 Fax: 732-222-4764 |
Paula Graziano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1907 State Route 35, Suite 1, Oakhurst, NJ 07755 Phone: 732-517-0060 Fax: 732-380-1965 |
Devare Elise Shepard, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Route 35 Ste 200, Oakhurst, NJ 07755 Phone: 732-807-0877 Fax: 201-751-1680 |
Caroline Leibowitz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1907 Highway 35 Ste 1, Oakhurst, NJ 07755 Phone: 732-361-2476 |
Mrs. Aileen Joanna Almeda Vasquez, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1912 Highway 35 Ste 201, Oakhurst, NJ 07755 Phone: 732-389-5004 Fax: 732-548-7408 |
Lauren Sterling, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1910 Highway 35, Oakhurst, NJ 07755 Phone: 732-531-0100 |