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Organization

HAUTESIDE

Active
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Organization

HAUTESIDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOUDLIE JEAN (APN)
(908) 392-6058
Entity
Organization

Contact information

Practice address
831-835 S 15TH ST, NEWARK, NJ 07108-1393
(908) 392-6058
Mailing address
831-835 S 15TH ST, NEWARK, NJ 07108-1393
(908) 392-6058

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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