Individual
JAMIE LYNN NEVILLE FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
8 W END PL, CRANFORD, NJ 07016-1715
(201) 407-6459
Mailing address
865 STONE ST, RAHWAY, NJ 07065-2742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00219500
NJ
363AM0700X
Medical Physician Assistant
25MP00219500
NJ
Other
Enumeration date
08/31/2009
Last updated
03/18/2025
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