Individual provider · Type 1 NPI
Jennifer Dawn Condlin, RN
Family Nurse Practitioner · Portjefferson, NY
NPI number
1720360340
Active · reactivated Apr 20, 2021
Practice location
75 North Country Road
Portjefferson, NY 11777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 636754-1 (NY) |
| Family Nurse Practitioner | 363LF0000X | F346007-01 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 346007 (NY) |
Family Nurse Practitioner: Definition to come...
8 other providers at this address
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- Farhad Mohammad AmjadStudent in an Organized Health Care Education/Training Program Port Jefferson, NY NPI 1164282455
- Kirolos Ibrahim, MDOphthalmology Physician Port Jefferson, NY NPI 1700318821
- Manal Syeda, DOStudent in an Organized Health Care Education/Training Program Port Jefferson, NY NPI 1659121135
- Muhammad Haseeb Waseem, MDStudent in an Organized Health Care Education/Training Program Port Jefferson, NY NPI 1356136220
- Omar Mazin Abdulmunem Al-Gailani, MDStudent in an Organized Health Care Education/Training Program Port Jefferson, NY NPI 1972351336
About NPI 1720360340
Jennifer Dawn Condlin, RN's National Provider Identifier is 1720360340, issued on Sep 10, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portjefferson, NY. The record was last updated on May 5, 2021.