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Individual

JASMINE CHARLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
334 E 25TH ST, NEW YORK, NY 10010-3179
(212) 263-5489
Mailing address
320 36TH ST, APT. 1, UNION CITY, NJ 07087-4710
(201) 320-0711

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00403600
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F306142-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ00403600
NEW JERSEY APN CERTIFICATION NUMBER
NJ
01
F306142
NEW YORK STATE NP LICENSE
NY
Enumeration date
11/15/2012
Last updated
08/15/2013
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