Individual
JAYDEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18260400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15343700
NJ
Other
Enumeration date
04/17/2025
Last updated
06/16/2025
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