Individual
ELIZABETH ANN JEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2750
(973) 322-6900
(973) 926-2997
Mailing address
2212 APRIL DR, MARTINSVILLE, NJ 08836
(917) 364-1042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14187600
NJ
163W00000X
Registered Nurse
553851
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00703600
NJ
363LP0200X
Pediatric Nurse Practitioner
382704
NY
Other
Enumeration date
05/01/2017
Last updated
01/04/2024
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