Individual
JACLYN ANN DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP
Contact information
Practice address
1 COOPER PLZ, DORRANCE 222, CAMDEN, NJ 08103
(856) 342-3150
(856) 968-8418
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00354800
NJ
Other
Enumeration date
12/14/2011
Last updated
05/31/2018
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