Provider Demographics
NPI:1396006862
Name:ORSINI, JENOVEVA (APN)
Entity Type:Individual
Prefix:
First Name:JENOVEVA
Middle Name:
Last Name:ORSINI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:JENOVEVA
Other - Middle Name:
Other - Last Name:ORSINI-NEGRONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3458 NEELY ROAD
Mailing Address - Street 2:JB-MDL
Mailing Address - City:MC GUIRE
Mailing Address - State:NJ
Mailing Address - Zip Code:08641
Mailing Address - Country:US
Mailing Address - Phone:609-754-9107
Mailing Address - Fax:973-926-8206
Practice Address - Street 1:3458 NEELY ROAD
Practice Address - Street 2:
Practice Address - City:MC GUIRE
Practice Address - State:NJ
Practice Address - Zip Code:08641
Practice Address - Country:US
Practice Address - Phone:609-754-9107
Practice Address - Fax:609-754-9195
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00380100363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics