Provider Demographics
NPI:1396578258
Name:LOSPINOSO, JENNIFER A (ANP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:LOSPINOSO
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 907
Mailing Address - Street 2:208 W WHITE HORSE PIKE
Mailing Address - City:POMONA
Mailing Address - State:NJ
Mailing Address - Zip Code:08240-0907
Mailing Address - Country:US
Mailing Address - Phone:609-652-2256
Mailing Address - Fax:609-228-8301
Practice Address - Street 1:P O BOX 907
Practice Address - Street 2:208 W WHITE HORSE PIKE
Practice Address - City:POMONA
Practice Address - State:NJ
Practice Address - Zip Code:08240-0907
Practice Address - Country:US
Practice Address - Phone:609-652-2256
Practice Address - Fax:609-228-8301
Is Sole Proprietor?:No
Enumeration Date:2024-08-24
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15089300363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care