# JENNIFER DYER, NURSE PRACTITIONER, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174840524
- **Authorized official:** JENNIFER DYER NP (PRESIDENT)
- **Authorized official phone:** (973) 714-7973

## Contact information

- **Practice address:** 102 CEDAR LK E, DENVILLE, NJ 07834-1844
- **Practice address phone:** (973) 714-7973
- **Mailing address:** 102 CEDAR LK E, DENVILLE, NJ 07834-1844
- **Mailing address phone:** (973) 714-7973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00037400 | NJ | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 04/26/2010