Jennifer Butler, RN
Registered Nurse in Mastic, NY. Individual provider (NPI-1).
NPI number1215351069
StatusActive
Last updated in NPPESAug 17, 2018
Details
- NPI
- 1215351069
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Butler
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2014
- Last updated
- Aug 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 703337 | NY | Yes |
Practice location
1235 Montauk HwyMastic, NY 11950
Phone 631-772-3266
Mailing address
10 Horizon View DrFarmingville, NY 11738-3049
Phone 631-384-7893
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All 28 Registered Nurse providers in Mastic · All 233 providers in Mastic
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