Individual
JESSICA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
98 LINWOOD AVE, CRESSKILL, NJ 07626-2155
(201) 294-5476
Mailing address
98 LINWOOD AVE, CRESSKILL, NJ 07626-2155
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430477-1
NY
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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