Individual provider · Type 1 NPI
Jennifer Dolis, NP-C
Adult Health Nurse Practitioner · Mahwah, NJ
NPI number
1104365832
Active
Practice location
400 Franklin Tpke
Mahwah, NJ 07430-3516
Mailing address
43 Eagle Crest Way
Chester, NY 10918-1761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00701800 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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- Arthur S. Antler, MDGastroenterology Physician Mahwah, NJ NPI 1962416776
- Elaine Alicakos, DPMFoot Surgery Podiatrist Mahwah, NJ NPI 1861493397
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About NPI 1104365832
Jennifer Dolis, NP-C's National Provider Identifier is 1104365832, issued on Feb 14, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mahwah, NJ. The record was last updated on Feb 14, 2017.