Individual
MRS. TERESA M CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2646
(973) 761-9175
Mailing address
18 W BLACKWELL ST, DOVER, NJ 07801-3841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NO09584600
NJ
Other
Enumeration date
06/05/2009
Last updated
07/14/2014
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