Jennifer Dawn Condlin RN

NPI # 

Practice Address:

75 North Country Road

Portjefferson, NY, 11777

Practice Phone:

631-473-1320

License Number:

636754-1

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Registered Nurse

Taxonomy Code:

163W00000X

Deactivation Date:

2020-11-24T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2021-04-20T00:00:00.000Z

Updated by NPPES on 5/5/2021. You can view the original data set for NPI # 1720360340 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Jennifer Dawn Condlin , RN 's

CMS CPT® coding data

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Jennifer Dawn Condlin , RN 's

CMS prescription data

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