Individual provider · Type 1 NPI
Jenna Lauren Sonnenberg
Adult Health Nurse Practitioner · Shoreham, NY
NPI number
1447775747
Active
Practice location
45 Route 25A Ste C
Shoreham, NY 11786-1389
Fax (631) 744-1627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308262 (NY) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1447775747
Jenna Lauren Sonnenberg's National Provider Identifier is 1447775747, issued on Aug 8, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Shoreham, NY. The record was last updated on Aug 8, 2017.