Individual
MRS. CICILY JEANNETTE
Active
Individual
MRS. CICILY JEANNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
11293198
NJ
163WM0102X
Maternal Newborn Registered Nurse
26NR13823300
NJ
207RR0500X
Rheumatology Physician
Primary
26NJ00829100
NJ
363LF0000X
Family Nurse Practitioner
26NJ00829100
NJ
Other
Enumeration date
02/28/2014
Last updated
10/29/2024
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