Doctor Name: | MRS. JENNIFER SANFILIPPO |
NPI Number: | 1013391291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00575600 |
Business Practice Address: | 2130 Highway 35 321 C Sea Girt, NJ - 087501010 |
Business Phone Number: | 7329746700 |
Business Fax Number: | 7329746707 |
Mailing Address: | 2130 Highway 35, 321 C SEA GIRT |
State: | NJ |
Postal Code: | 087501010 |
Phone Number: | 7329746700 |
Fax Number: | 7329746707 |
NPI Enumeration Date: | 07/16/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00575600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |