person
Jennifer Casilla
Adult Health Nurse Practitioner in Mastic, New York
NPI 1679128904

Jennifer Casilla is an Adult Health Nurse Practitioner based in Mastic, NY and is specialized in Adult Health. Jennifer Casilla practices in Mastic, NY. The NPI Number for Jennifer Casilla is 1679128904 and holds a License No. F309348-01 (New York).

The current practice location address for Jennifer Casilla is 148 Burney Blvd, Mastic, NY and can be reached out via phone at 631-494-5966.

Location: 148 Burney Blvd, Mastic, NY, 11950-1335
person
Provider Profile Details
NPI Number
1679128904
Provider Name
Jennifer Casilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
148 Burney Blvd, Mastic, NY, 11950-1335
Phone Number
631-494-5966
Fax Number
Provider Enumeration Date
08/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
148 Burney Blvd
City
State
Zip
11950-1335
Phone Number
631-494-5966
Fax Number
person
Provider Business Mailing Address Details
Address
148 Burney Blvd
City
State
Zip
11950-1335
Phone Number
631-494-5966
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F309348-01 (New York)
Definition
Definition to come...
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