Individual
JENNIFER LYNN EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
100 MANETTO HILL RD STE 302, PLAINVIEW, NY 11803-1311
(516) 931-7337
Mailing address
100 MANETTO HILL RD STE 302, PLAINVIEW, NY 11803-1311
(516) 931-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383607
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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