Individual
MANOUCHKA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN, CPNP
Contact information
Practice address
190 S HARRISON ST, EAST ORANGE, NJ 07018-1502
(973) 674-8373
(973) 552-2805
Mailing address
1425 CLOVER LN, SCOTCH PLAINS, NJ 07076-2830
(908) 553-8787
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00908300
NJ
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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