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JENNIFER DAWN CONDLIN RN
NPI 1720360340
Nurse Practitioner - Family in Portjefferson, NY

Active since September 10, 2011
75 NORTH COUNTRY ROAD, PORTJEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2021, Apr 21, 2021 (2 updates tracked since 2021).

About Jennifer Dawn Condlin Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DAWN CONDLIN RN (NPI 1720360340) is an individual family provider in Portjefferson, New York, licensed in New York (346007) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1720360340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER DAWN CONDLINCredential: RN
Location Address75 NORTH COUNTRY ROADPortjefferson, NY 11777
Mailing Address75 North Country RoadPortjefferson, NY 11777 · (631) 473-1320
Phone(631) 473-1320
Sole ProprietorYes
Enumeration DateSeptember 10, 2011
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1720360340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 346007✔ Licensed in NY · F346007-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 636754-1 (NY)
75 NORTH COUNTRY ROAD, Portjefferson, NY 11777
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARHAD MOHAMMAD AMJAD
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
PORT INTERVENTIONAL RADIOLOGY PC
Radiology (Diagnostic Radiology)
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-2757
ABDULLAH ALI M.D.
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
MUHAMMAD HASEEB WASEEM M.D
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
PROFESSIONAL RADIOLOGY PC
Radiology (Diagnostic Radiology)
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-2757
CAREENA ANN LOBO
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-2874
MANAL SYEDA DO
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
DR. KIROLOS IBRAHIM M.D.
Ophthalmology
75 NORTH COUNTRY ROAD, MATHER HOSPITAL GME
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Condlin's NPI number?

The NPI number for Jennifer Condlin is 1720360340. It was assigned to this individual provider in the NPPES registry on September 10, 2011.

Where is Jennifer Condlin located?

Jennifer Condlin practices at 75 North Country Road, Portjefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Jennifer Condlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Condlin was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.