Individual
MISS JENNIFER LEE SOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICHOLLS ROAD, STONY BROOK, NY 11794-0001
(631) 444-3575
Mailing address
35 HILLSIDE RD, STONY BROOK, NY 11790-1018
(631) 241-1181
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431531-01
NY
363LG0600X
Gerontology Nurse Practitioner
F431531-01
NY
Other
Enumeration date
06/04/2019
Last updated
04/28/2022
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