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Individual

DR. RICKY JAMES JEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, PMHNP

Contact information

Practice address
10 PARSONAGE RD STE 410, EDISON, NJ 08837-2475
(732) 659-9524
(732) 205-1808
Mailing address
10 PARSONAGE RD STE 410, EDISON, NJ 08837-2475
(732) 659-9524
(732) 205-1808

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01229900
NJ

Other

Enumeration date
11/15/2021
Last updated
11/06/2023
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