Individual
MRS. JENNIFER D HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
101 NICHOLLS ROAD HSC T 11 060, STONY BROOK, NY 11794-0001
(631) 444-8014
Mailing address
101 NICHOLLS ROAD HSC T-11 ROOM 060, STONY BROOK, NY 11794-0001
(631) 444-8014
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350429
NY
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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