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Eboni Renee Wyllie
Pediatric Nurse Practitioner in Hackettstown, New Jersey
NPI 1033818331

Eboni Renee Wyllie is a Pediatric Nurse Practitioner based in Hackettstown, NJ and is specialized in Pediatrics. Eboni Renee Wyllie practices in Hackettstown, NJ. The NPI Number for Eboni Renee Wyllie is 1033818331 and holds a License No. 383395 (New Jersey).

The current practice location address for Eboni Renee Wyllie is 15 Ridgley St, Hackettstown, NJ and can be reached out via phone at 347-668-5351.

Location: 15 Ridgley St, Hackettstown, NJ, 07840-3452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033818331
Provider Name
Eboni Renee Wyllie
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Ridgley St, Hackettstown, NJ, 07840-3452
Phone Number
347-668-5351
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Ridgley St
City
Hackettstown
State
New Jersey
Zip
07840-3452
Phone Number
347-668-5351
Fax Number
person
Provider Business Mailing Address Details
Address
15 Ridgley St
City
Hackettstown
State
New Jersey
Zip
07840-3452
Phone Number
347-668-5351
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
383395 (New York)
Definition
Definition to come...
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