Individual
JESSICA MILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-8000
(856) 641-7668
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0705
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11582100
NJ
163W00000X
Registered Nurse
RN348539L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00240400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075419
AANA NUMBER
—
01
—
P00795698
RAILROAD MEDICARE
NJ
Enumeration date
06/27/2006
Last updated
07/31/2012
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