Individual
JACQUELINE MARISA PASSARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/RNFA
Contact information
Practice address
2315 ROUTE 34 S, MANASQUAN, NJ 08736-1444
(732) 974-0404
(732) 449-4271
Mailing address
2315 ROUTE 34 S, MANASQUAN, NJ 08736-1444
(732) 974-0404
(732) 449-4271
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
26NR21176200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15155900
NJ
Other
Enumeration date
07/10/2024
Last updated
10/06/2024
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