| Doctor Name: | RENA JAFFE |
| NPI Number: | 1821307257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 366487 |
| Business Practice Address: | 1485 Union Valley Rd West Milford, NJ - 074801391 |
| Business Phone Number: | 9737281880 |
| Business Fax Number: | 9737281559 |
| Mailing Address: | 909 Ringwood Ave, HASKELL |
| State: | NJ |
| Postal Code: | 074201343 |
| Phone Number: | 9738316700 |
| Fax Number: | 9738316703 |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 366487 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |