| Doctor Name: | MRS. CELINA JANNICELLI |
| NPI Number: | 1568750156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 26NJ00328200 |
| Business Practice Address: | 156 Newark Pompton Tpke Pequannock, NJ - 074401327 |
| Business Phone Number: | 9736921221 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2269, POCONO PINES |
| State: | PA |
| Postal Code: | 183502269 |
| Phone Number: | 9739795860 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2011 |
| NPI Last Update Date: | 02/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00328200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |