Individual
JENNIFER VIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Mailing address
261 SENECA PL, WESTFIELD, NJ 07090-4347
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308005
NY
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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