Provider Demographics
NPI:1245100023
Name:GUY, JENNIFER (BSN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GUY
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:CRESSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:187 7TH AVE E
Mailing Address - Street 2:
Mailing Address - City:ESTELL MANOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08319-1709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:187 7TH AVE E
Practice Address - Street 2:
Practice Address - City:ESTELL MANOR
Practice Address - State:NJ
Practice Address - Zip Code:08319-1709
Practice Address - Country:US
Practice Address - Phone:609-432-3017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11633200163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health