Individual
JENNIFER ANNE ZETHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MS,PNP
Contact information
Practice address
220 FORT SALONGA RD, SUITE 101, NORTHPORT, NY 11768-3900
(631) 262-8505
(631) 754-2909
Mailing address
112 ADAMS ST, CENTERPORT, NY 11721-1036
(631) 427-3001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381350-1
NY
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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