Cory Allyson Jacques, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

660768 Issued in NY

Practice address

317 North St
White Plains, NY 10605-2209

Phone

(917) 597-4062

Fax

(914) 597-4004

NPI assigned

May 24, 2013

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1891132221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BENEDICT AVE",
            "address_2": "5E",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914939",
            "telephone_number": "860-539-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NORTH ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052209",
            "telephone_number": "917-597-4062",
            "fax_number": "914-597-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "CORY",
        "middle_name": "ALLYSON",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "660768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jacobs
• Stephanie Jacobs, LMHC, PH.D.
• Susan Jacobson-Mayer, NP
• William Jacobson, MD
• Maria Esther Jacome, D.D.S.
• Jennifer Jacquet-Murray, MT-BC
• Jady M. Moreno Inc
• Alan H. Jaffe, MD
• Farrukh Nadeem Jafri, M.D.
• Jag Psychology PC

• Registered Nurse in White Plains, NY
• Providers in White Plains, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.