Individual
MARY L. JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, C
Contact information
Practice address
103 PEACH TREE LN, EGG HARBOR TOWNSHIP, NJ 08234-5252
(609) 561-1700
(609) 380-4436
Mailing address
103 PEACH TREE LN, EGG HARBOR TOWNSHIP, NJ 08234-5252
(609) 561-1700
(609) 380-4436
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00605000
NJ
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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