Individual
JEANIE NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 MULLICA HILL RD, MULLICA HILL, NJ 08062-2665
(609) 455-1576
Mailing address
507 MULLICA HILL RD, MULLICA HILL, NJ 08062-2665
(609) 455-1576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15188600
NJ
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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