Individual provider · Type 1 NPI

Lisa Marie Jantzen, FNP

Family Nurse Practitioner · Hauppauge, NY

NPI number 1770896409 Active

Practice location

1 Kings Hwy
Hauppauge, NY 11788-4216

Mailing address

14 Gaetano Ln
Coram, NY 11727-2345

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X336440 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1770896409

Lisa Marie Jantzen, FNP's National Provider Identifier is 1770896409, issued on Jul 22, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hauppauge, NY. The record was last updated on Mar 22, 2021.