Individual
JENNIFER MARIE LOCONSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, RN
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 298-8400
Mailing address
112 W 11TH AVE, CONSHOHOCKEN, PA 19428-1418
(215) 290-0410
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
L1-0049163
DE
163WP0200X
Pediatric Registered Nurse
RN651476
PA
363LP0200X
Pediatric Nurse Practitioner
SP023946
PA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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