| Doctor Name: | MS. JACQUELINE MUCKIAN |
| NPI Number: | 1215171608 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F335182-1 |
| Business Practice Address: | 1207 Route 9 Ste 11 Wappingers Falls, NY - 125904987 |
| Business Phone Number: | 8452973200 |
| Business Fax Number: | |
| Mailing Address: | 1207 Route 9 Ste 11, WAPPINGERS FALLS |
| State: | NY |
| Postal Code: | 125904987 |
| Phone Number: | 8452973200 |
| Fax Number: | 8452979466 |
| NPI Enumeration Date: | 04/29/2009 |
| NPI Last Update Date: | 03/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F335182-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |