Individual provider · Type 1 NPI

Teresa M. Conklin, FNP

Family Nurse Practitioner · South Orange, NJ

NPI number 1275769176 Active

Practice location

400 S Orange Ave
South Orange, NJ 07079-2646

Mailing address

18 W Blackwell St
Dover, NJ 07801-3841

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NO09584600 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1275769176

Teresa M. Conklin, FNP's National Provider Identifier is 1275769176, issued on Jun 5, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Orange, NJ. The record was last updated on Jul 14, 2014.