Individual
JENNA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 EDISON AVE, NUTLEY, NJ 07110-1008
(201) 704-0256
Mailing address
25 EDISON AVE, NUTLEY, NJ 07110-1008
(201) 704-0256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14964100
NJ
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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