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Individual

JENIFFER TOBON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1 NATIONAL LIFE DR, MONTPELIER, VT 05604-9516
(802) 229-7515
(802) 229-7518
Mailing address
496 S CRAFTSBURY RD, CRAFTSBURY, VT 05826-9002
(206) 303-0094

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0134154
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101.0134154
STATE LICENSE
VT
05
9653841
WA
Enumeration date
09/11/2007
Last updated
01/14/2021
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