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Individual

MRS. JENNIFER L DAVOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN, AGACNP-BC

Contact information

Practice address
310 SALEM WOODSTOWN RD, SALEM, NJ 08079-2064
(856) 935-1000
Mailing address
59 ENLOW PL, PENNSVILLE, NJ 08070-2003
(856) 230-5601

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00957300
NJ
363LA2100X
Acute Care Nurse Practitioner
APN0000032508
TN
363LA2100X
Acute Care Nurse Practitioner
SP025547
PA

Other

Enumeration date
11/01/2019
Last updated
02/22/2023
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