Individual
MS. JENNA LYNN MCNICHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1418 NEW RD STE 2, NORTHFIELD, NJ 08225-1179
(609) 796-2119
Mailing address
1418 NEW RD STE 2, NORTHFIELD, NJ 08225-1179
(609) 796-2119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00253100
NJ
Other
Enumeration date
01/31/2011
Last updated
10/24/2025
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