Individual
JENICE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
790 BLOOMFIELD AVE, CLIFTON, NJ 07012-1142
(973) 688-8543
Mailing address
140 BALTIMORE AVE, HILLSIDE, NJ 07205-2605
(908) 477-3033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01032700
NJ
Other
Enumeration date
05/06/2020
Last updated
09/09/2020
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