Individual
NYEESHA GARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
617 BROAD ST, NEWARK, NJ 07102-4403
(862) 246-7940
(862) 246-7941
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
25MP00812000
NJ
Other
Enumeration date
09/11/2023
Last updated
12/16/2024
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