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NPI Code Detail

MEDICARE: JENNIFER L HART NP

MEDICARE: JENNIFER L HART NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNN0902100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356338982
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L HART NP
Provider Business Mailing Address
First Line : 11 THEATRE CTR
Second Line :
City : SPARTA
State : NJ
Zip : 07871-2433
Country : US
Telephone Number : 973-726-3219
Fax Number : 973-726-5221
Provider Business Practice Location Address
First Line : 11 THEATRE CTR
Second Line :
City : SPARTA
State : NJ
Zip : 07871-2433
Country : US
Telephone Number : 973-726-3219
Fax Number : 973-726-5221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 12/12/2012

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