Individual provider · Type 1 NPI

Jennifer Anne Grella, APRN, BC

Adult Health Nurse Practitioner · Smithtown, NY

NPI number 1164527164 Active

Practice location

363 Route 111, Suite 101
Smithtown, NY 11787-4756

Call (631) 724-8075 Map

Fax (631) 724-8076

Mailing address

25 Aster Ave
Holtsville, NY 11742-1733

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	F303036-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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Mark J. Zuckerman, Physician, P.c.Neurology Physician Smithtown, NY NPI 1598909780
Matthew D Gee, Lcsw, Phd, LLCSocial Worker Smithtown, NY NPI 1174896021
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Pamela Trifaro, Lcsw, PLLCClinical Social Worker Smithtown, NY NPI 1700331873
Andrea Lee Pollack, D.OFamily Medicine Physician Smithtown, NY NPI 1326202706

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About NPI 1164527164

Jennifer Anne Grella, APRN, BC's National Provider Identifier is 1164527164, issued on Sep 14, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Smithtown, NY. The record was last updated on Aug 18, 2008.