JACQUELINE FORD DECUNZO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029715

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

FORD

Last Name

DECUNZO

Business Name

JACQUELINE FORD DECUNZO

Original Issue Date

05/15/2024

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

NEW YORK

State

Zip

10011

Ever Disciplined

LastModifiedDate

03/02/2026