Provider Demographics
NPI:1952530347
Name:LORENZO, JENNIFER NAGUIT (BSN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:NAGUIT
Last Name:LORENZO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 COLUMBIA TER
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5526
Mailing Address - Country:US
Mailing Address - Phone:908-964-5079
Mailing Address - Fax:
Practice Address - Street 1:1771 COLUMBIA TER
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5526
Practice Address - Country:US
Practice Address - Phone:908-964-5079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11981800163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse