Jacquelyn Regina Zagone, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ14846000 Issued in NJ

Practice address

12 W Willow St
Wenonah, NJ 08090-1850

Phone

(856) 571-2139

NPI assigned

Jun 7, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacquelyn Zagone, Apn, Pmhnp-BC Psychiatric Services LLC

  • Specialist
  • Sewell, NJ
  • NPI 1477382109

  Psychiatric/Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1003500513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W WILLOW ST",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901850",
            "telephone_number": "856-571-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WILLOW ST",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901850",
            "telephone_number": "856-571-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGONE",
        "first_name": "JACQUELYN",
        "middle_name": "REGINA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14846000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willowglen Academy-New Jersey, Inc.
• Woodbury Dental Associates PA
• Wyckoff-Nester, LLP
• Carl K Wyckoff III, D.D.S.
• Youth Consultation Service Inc
• Stephania Michelle Zuniga Bernabe, DMD

• Psychiatric/Mental Health Nurse Practitioner in Wenonah, NJ
• Providers in Wenonah, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.