| Doctor Name: | JENNIFER PISKADLO |
| NPI Number: | 1023310877 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, CRNP |
| License Number: | SP010921 |
| Business Practice Address: | 2440 Hamburg Tpke Wayne, NJ - 074706226 |
| Business Phone Number: | 9738393400 |
| Business Fax Number: | |
| Mailing Address: | 443 Manor Ave, CRANFORD |
| State: | NJ |
| Postal Code: | 070162063 |
| Phone Number: | 2012903765 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2010 |
| NPI Last Update Date: | 01/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP010921 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |