Organization
HOSPITAL TO HOME TRANSITIONAL DIABETES CARE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LYNN DONNELL-JACKSON APN-C (NURSE PRACTITIONER/DIRECTOR)
(856) 889-9577
Entity
Organization
Contact information
Practice address
67 STRATTON LN, SEWELL, NJ 08080-2253
(856) 889-9577
Mailing address
67 STRATTON LN, SEWELL, NJ 08080-2253
(856) 889-9577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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