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Individual

MRS. JACLYN EMMA ULZHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
397 HALEDON AVE STE 103, HALEDON, NJ 07508-1551
(973) 782-4871
(973) 782-4873
Mailing address
16 GLEN PL, OLD TAPPAN, NJ 07675-6904

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG01190175
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
AG01190175
NJ

Other

Enumeration date
02/03/2019
Last updated
04/05/2019
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