Individual
SHARISA LOVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 STEPHENSON AVE, OCEANPORT, NJ 07757-1242
(732) 592-3400
Mailing address
3301 AUTUMN DR, TINTON FALLS, NJ 07753-7447
(732) 337-7268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01181800
NJ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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