Individual
MRS. JENNA STEPHANIE GIANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
435 SOUTH ST STE 370, MORRISTOWN, NJ 07960-6480
(973) 971-7267
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016676
LICENSE
NY
05
—
03631610
—
NY
Enumeration date
07/25/2013
Last updated
06/11/2019
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