Most Relevant Information
Provider Data
| NPI Number: | 1003507450 |
| Provider Name: | JEANETTE RAVELO-RODRIGUEZ FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 261QP2300X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2023 |
| Last Updated: | 05/17/2023 |
Provider Practice Location
46 NEWMAN SPRINGS RD E
RED BANK
NJ
077011530
Practice Location Phone/Fax
| Phone: | 7329334100 |
| Fax: |
Provider Mailing Location
300 EMORY ST UNIT 211
ASBURY PARK
NJ
077127131
Provider Mailing Phone/Fax
| Phone: | 7324238221 |
| Fax: |