Individual
JENNIFER DONNELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(407) 951-1316
Mailing address
4150 EBONY CT, LOVELAND, CO 80538-2153
(407) 951-1316
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383721
NY
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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