Individual
DR. BRIAN MICHAEL JERNICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, CRNA
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(800) 843-2384
Mailing address
12 VALLEY DR W, GLENWOOD, NJ 07418-1812
(862) 268-6477
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ14873300
NJ
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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