Organization
GENESCREEN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL CHISHOLM APN (CEO)
(908) 766-2800
Entity
Organization
Contact information
Practice address
75 CLAREMONT RD, #206, BERNARDSVILLE, NJ 07924-2262
(908) 766-2800
Mailing address
75 CLAREMONT RD, #206, BERNARDSVILLE, NJ 07924-2262
(908) 766-2800
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NN11307300
NJ
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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