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Individual

JOSEFINA GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADV. PRACTICE RN

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00000100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ00000100
STATE LICENSE
NJ
Enumeration date
04/02/2008
Last updated
01/20/2022
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