Individual
JENISE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 STATE ROUTE 35, CLIFFWOOD, NJ 07721-1512
(732) 727-2555
Mailing address
279 CORBIN CT, LAKEWOOD, NJ 08701-7452
(732) 852-0888
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07356300
NJ
Other
Enumeration date
05/17/2025
Last updated
05/20/2025
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