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Individual

MS. JANSENIA DIANE MILLARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2000
Mailing address
2517 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07304-2005

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
360076
NY

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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