Individual
JENNA GILLERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP, MSN, RN
Contact information
Practice address
119 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-7300
(856) 547-4573
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00131700
NJ
Other
Enumeration date
08/28/2007
Last updated
05/25/2011
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