| Doctor Name: | JODI LYNN IACCARINO |
| NPI Number: | 1114236411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | E45850 |
| Business Practice Address: | 1856 Boston Post Rd Westbrook, CT - 064982101 |
| Business Phone Number: | 8603990600 |
| Business Fax Number: | 8603990600 |
| Mailing Address: | 118 Williams Dr, GUILFORD |
| State: | CT |
| Postal Code: | 064371401 |
| Phone Number: | 2034579401 |
| Fax Number: | 2034579291 |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WR0400X |
| License Number: | E45850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |