Individual
JENNIFER MARIE RASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 HIGH ST, MOUNT HOLLY, NJ 08060-1052
(609) 261-8963
Mailing address
508 HIGH ST, MOUNT HOLLY, NJ 08060-1052
(609) 261-8963
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01028300
NJ
363L00000X
Nurse Practitioner
26NR13747900
NJ
363LF0000X
Family Nurse Practitioner
26NJ01028300
NJ
Other
Enumeration date
07/15/2020
Last updated
12/21/2021
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