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Miss Jenna Nicole Pannulla
Student in an Organized Health Care Education/Training Program in Huntington, New York
NPI 1629762216

Jenna Nicole Pannulla is a Student in an Organized Health Care Education/Training Program based in Flushing, NY. Jenna Nicole Pannulla practices in Huntington, NY. The NPI Number for Jenna Nicole Pannulla is 1629762216 and holds a License No. (New York).

The current practice location address for Jenna Nicole Pannulla is 55 Horizon Dr, Huntington, NY and can be reached out via phone at 631-920-8000.

Location: 55 Horizon Dr, Huntington, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629762216
Provider Name
Jenna Nicole Pannulla
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Horizon Dr, Huntington, NY, 11351-3000
Phone Number
631-920-8000
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Horizon Dr
City
Huntington
State
New York
Zip
11743-4436
Phone Number
631-920-8000
Fax Number
person
Provider Business Mailing Address Details
Address
55 Horizon Dr
City
Huntington
State
New York
Zip
11743-4436
Phone Number
631-920-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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