Individual
MRS. JENNIFER K PORCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 SEARS DR STE 306, PARAMUS, NJ 07652-3510
(201) 830-2287
(201) 830-2286
Mailing address
1 SEARS DR STE 306, PARAMUS, NJ 07652-3510
(201) 830-2287
(201) 830-2286
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00436900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
656665
MEDICARE PTAN
—
Enumeration date
05/21/2013
Last updated
02/05/2020
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