Individual
MS. JENNA T DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
400 W BLACKWELL ST, DOVER, NJ 07801-2525
(973) 989-3000
Mailing address
111 E DEWEY AVE, WHARTON, NJ 07885-2312
(718) 612-5252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR18474500
NJ
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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