Individual
MRS. JENNIFER DOOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 BREWSTER LN, EAST SETAUKET, NY 11733-2922
(631) 941-4480
(631) 941-4054
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6351
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3040001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F3040001
LICENSE
NY
Enumeration date
10/12/2006
Last updated
03/07/2023
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