Individual
MRS. JESSICA MARIE FATALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7131
Mailing address
8 ELM PL, MATAWAN, NJ 07747-3000
(917) 715-9301
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NJ14967000
NJ
Other
Enumeration date
12/01/2023
Last updated
12/13/2023
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