Individual
ATHENA KOKINOS GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
389 N COUNTY LINE RD, JACKSON, NJ 08527-4426
(732) 762-6186
Mailing address
22 LOUISIANA PKWY, JACKSON, NJ 08527-2145
(732) 762-6186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
359722
NY
363LF0000X
Family Nurse Practitioner
17785
CT
363LF0000X
Family Nurse Practitioner
Primary
26NJ15584400
NJ
Other
Enumeration date
05/14/2026
Last updated
07/11/2026
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