Individual
JESSICA L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
156 MEADOW RIDGE RD, GALLOWAY, NJ 08205-3202
(609) 453-8888
Mailing address
156 MEADOW RIDGE RD, GALLOWAY, NJ 08205-3202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR18464000
NJ
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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