Individual
MRS. JANINE ANTONIEL OTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
91 GIFFORD AVE, JERSEY CITY, NJ 07304-1703
(201) 486-5776
Mailing address
91 GIFFORD AVE, JERSEY CITY, NJ 07304-1703
(201) 486-5776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00545700
NJ
Other
Enumeration date
01/26/2015
Last updated
02/02/2022
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