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Individual

MRS. CICILY JEANNETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APN, FNP-C

Contact information

Practice address
2848 S DELSEA DR STE 2C, VINELAND, NJ 08360-7042
(856) 794-5180
Mailing address
2848 S DELSEA DR STE 2C, VINELAND, NJ 08360-7042
(856) 794-9090

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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