Individual
PHILIP JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
25 LOHS PL, HARRINGTON PARK, NJ 07640-1041
(201) 983-7051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14934100
NJ
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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