| Doctor Name: | MRS. JACLYN CASTRONOVA |
| NPI Number: | 1922312420 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 4175 |
| Business Practice Address: | 2380 N 400 E Ste A North Logan, UT - 843416000 |
| Business Phone Number: | 4357131300 |
| Business Fax Number: | 4357877601 |
| Mailing Address: | 2380 N 400 E, Ste A NORTH LOGAN |
| State: | UT |
| Postal Code: | 843416000 |
| Phone Number: | 4357131300 |
| Fax Number: | 4357877601 |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4175 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |