Individual
JUNIELLE-ANN RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 674-1300
Mailing address
7 SAINT ANDREWS DR, WASHINGTON, NJ 07882-1562
(862) 202-0222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15003500
NJ
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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