Individual
JESSICA KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 VALLEY RD STE 106, WAYNE, NJ 07470-3537
(551) 996-9733
Mailing address
502 VALLEY RD STE 106, WAYNE, NJ 07470-3537
(551) 996-9733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00588800
NJ
363LF0000X
Family Nurse Practitioner
26NJ00416800
NJ
Other
Enumeration date
02/03/2013
Last updated
02/12/2024
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