Individual
MS. JONI LYNN PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1945 CORLIES AVENUE, NEPTUNE, NJ 07753
(732) 775-5500
Mailing address
2113 FIRST AVE, P.O. BO 254, ALLENWOOD, NJ 08720-7020
(732) 330-2792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00466300
NJ
363LA2200X
Adult Health Nurse Practitioner
A1209076
NJ
Other
Enumeration date
07/10/2013
Last updated
07/20/2018
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