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Individual

MS. JENNIFER ANN STANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-9564
(212) 342-3591
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-9564
(212) 342-3591

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301010
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02655329
NY
Enumeration date
12/06/2006
Last updated
02/25/2025
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