Individual
JILLIAN ULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 748-7089
Mailing address
5 FOX TAIL CT, SEWELL, NJ 08080-3064
(856) 381-6124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00708800
NJ
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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