Individual
JENELLE DONZELLI NEMETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
34 FULLER DR, CORINTH, NY 12822-2321
(704) 746-2424
Mailing address
34 FULLER DR, CORINTH, NY 12822-2321
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-86564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
615812
RN
NY
Enumeration date
07/30/2018
Last updated
01/22/2021
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