Individual
JENNIFER ANN O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN, AGACNP-BC
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7055
Mailing address
13 FOXWOOD DR, APT G, MORRIS PLAINS, NJ 07950-2636
(862) 812-7770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00674900
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00674900
NJ
Other
Enumeration date
10/14/2016
Last updated
04/10/2024
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