Individual
MRS. JILL DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2500 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4613
(856) 266-6311
(856) 321-1692
Mailing address
2500 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4613
(856) 266-6311
(856) 321-1692
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04669000
NJ
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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