Individual
JACQUELYN MARIE AMODEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
246 HAMBURG TPKE STE 205, WAYNE, NJ 07470-2160
(973) 389-1800
Mailing address
246 HAMBURG TPKE STE 205, WAYNE, NJ 07470-2160
(973) 389-1800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01091800
NJ
Other
Enumeration date
12/15/2020
Last updated
12/30/2021
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