Individual
JESSICA ELIZABETH BLACKNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 JANINE PL, HAZLET, NJ 07730-1114
(732) 609-4157
Mailing address
10 JANINE PL, HAZLET, NJ 07730-1114
(732) 609-4157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
06/04/2026
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