Individual
JENNIFER NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
6 BROOKWOOD RD, STANHOPE, NJ 07874-3220
(908) 578-6078
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
762083
NY
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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