Individual
JACLYN MARJORIE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., NP-C
Contact information
Practice address
27 PINCKNEY RD, RED BANK, NJ 07701-2179
(732) 747-4600
(732) 219-1968
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00408200
NJ
Other
Enumeration date
12/23/2012
Last updated
04/03/2013
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