Individual
JENNIFER PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 WATER ST APT 401A, WHITE PLAINS, NY 10601-1401
(888) 722-2072
Mailing address
15 DREWRY LN, TAPPAN, NY 10983-1105
(917) 560-2891
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
512007-1
NY
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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