JACLYN V. NEBZYDOSKI – NPI #1043776875
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JACLYN NEBZYDOSKI is a physician located in AGANA HEIGHTS, GU. NPPES has assigned the NPI number 1043776875 to JACLYN NEBZYDOSKI on February 18, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JACLYN VICTORIA GASSAWAY. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Sep 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACLYN NEBZYDOSKI below.

NPI Profile for
JACLYN V. NEBZYDOSKI

NPI Number
1043776875
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACLYN V. NEBZYDOSKI
Former Name: JACLYN VICTORIA GASSAWAY
Primary location
US NAVAL HOSPITAL GUAM
FARENHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Phone: (671) 344-9340 Fax:
Mailing address
PSC 455 BOX 208
FPO, AP 96540-0003
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Sep 21, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
VA 0102206234

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.