Individual
STACEY TELENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1945 NEW JERSEY 33, NEPTUNE, NJ 07757
(732) 775-5500
Mailing address
1945 NEW JERSEY 33, NEPTUNE, NJ 07757
(732) 775-5500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26RN00546700
NJ
Other
Enumeration date
11/06/2014
Last updated
02/24/2015
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