Individual
JACKSON POKRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP -BC
Contact information
Practice address
406 NORTHFIELD AVE, NORTHFIELD, NJ 08225-1823
(609) 350-3218
(732) 454-5321
Mailing address
406 NORTHFIELD AVE, NORTHFIELD, NJ 08225-1823
(609) 350-3218
(732) 454-5321
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15128800
NJ
Other
Enumeration date
09/12/2024
Last updated
03/20/2025
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