Individual
MRS. JENNIFER MUILENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
19 GRASSY POND DR, SMITHTOWN, NY 11787-4027
(631) 553-7597
Mailing address
19 GRASSY POND DR, SMITHTOWN, NY 11787-4027
(631) 553-7597
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
30304739
NY
Other
Enumeration date
12/04/2007
Last updated
05/30/2019
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