Individual
JENNA MARIE CANDEMERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
112 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 209-2827
Mailing address
38 FERRARO DR, HOLBROOK, NY 11741-5320
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383487
NY
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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