Individual
DR. JEFFREY DYNOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APN, PMHNP-BC
Contact information
Practice address
151 HIGHWAY 516 UNIT 2, OLD BRIDGE, NJ 08857-6801
(732) 301-4711
Mailing address
151 HIGHWAY 516 UNIT 2, OLD BRIDGE, NJ 08857-6801
(732) 301-4711
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01195000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0817619
—
NJ
Enumeration date
09/03/2021
Last updated
08/25/2024
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