Individual
JENNIFER MARIE ENDERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
169 MADISON AVE STE 2817, NEW YORK, NY 10016-5101
(888) 553-2823
(888) 553-2823
Mailing address
169 MADISON AVE STE 2817, NEW YORK, NY 10016-5101
(888) 553-2823
(888) 553-2823
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1141255
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
220412
AZ
363LA2100X
Acute Care Nurse Practitioner
433088
NY
363LA2100X
Acute Care Nurse Practitioner
4704407614
MI
363LA2100X
Acute Care Nurse Practitioner
APRN11028038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356813653
—
MI
Enumeration date
12/26/2018
Last updated
08/20/2024
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