Individual provider · Type 1 NPI
Jennifer Ranee Dewilde, DC
Family Nurse Practitioner · Mahwah, NJ
NPI number
1306905054
Active
Practice location
65 Ramapo Valley Rd Ste 102B
Mahwah, NJ 07430-1182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 038010352 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | F09231068 (MO) |
| Family Nurse Practitioner | 363LF0000X | 53-82718-091 (KS) |
Family Nurse Practitioner: Definition to come...
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- Donna Carrazzone, DNPFamily Nurse Practitioner Mahwah, NJ NPI 1265764633
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About NPI 1306905054
Jennifer Ranee Dewilde, DC's National Provider Identifier is 1306905054, issued on Dec 8, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mahwah, NJ. The record was last updated on Jan 13, 2026.