Individual
JENNIFER ANNE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 ROUTE 70 E BLDG A-100, MARLTON, NJ 08053-2341
(856) 983-3900
(856) 797-4785
Mailing address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2087
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402654-01
NY
Other
Enumeration date
10/10/2019
Last updated
08/14/2020
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