Individual
STEPHANIE SOUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4618
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00955100
NJ
Other
Enumeration date
02/19/2020
Last updated
05/27/2025
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