Jill Jackson APN-C

NPI 1376626960 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1376626960
Gender Female
Enumeration Date 10/24/2006
Last Updated 10/17/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1944 ROUTE 33
SUITE 101A
NEPTUNE NJ, 07753-4862, US
Phone (732) 202-8071
Fax
Business Location
57 NORMANDIE PL
CRANFORD NJ, 07016-1957, US
Phone (908) 272-8548
Fax
Toxanomy
Taxonomy Code 363L00000X
License State New Jersey
License Number 26NJ00119300
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According to our database, Ms. Jill Jackson APN-C NPI is 1376626960, taxonomy code is 363L00000X and license number is 26NJ00119300, license state is located at New Jersey. Jill Jackson APN-C physically located at 1944 Route 33, Neptune NJ, 07753-4862. NPI Number Jill Jackson APN-C has the Individual type.

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1376626960 NPI number is provided on an as is basis without warranty of any kind. 1376626960 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Jackson APN-C are for informational purposes only.