Healthcare Provider Details

I. General information

NPI: 1982394292
Provider Name (Legal Business Name): JENNIFER MARIE ARNOLD DNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 NEALY AVE
LANGLEY AFB VA
23665-2040
US

IV. Provider business mailing address

343 HERITAGE LOOP
GLASSBORO NJ
08028-3277
US

V. Phone/Fax

Practice location:
  • Phone: 757-764-6418
  • Fax:
Mailing address:
  • Phone: 609-560-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9401191
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number26NR15623100
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024188360
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: