Individual
DR. JENNIFER BRIGHT DISMUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
88 ORCHARD RD, SUITE 2-6, SKILLMAN, NJ 08558-2642
(609) 228-6896
(940) 293-8585
Mailing address
88 ORCHARD RD, SUITE 2-6, SKILLMAN, NJ 08558-2642
(609) 228-6896
(940) 293-8585
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB09244600
NJ
2084P0800X
Psychiatry Physician
M7951
TX
2084P0802X
Addiction Psychiatry Physician
25MB09244600
NJ
2084P0802X
Addiction Psychiatry Physician
M7951
TX
2084P0804X
Child & Adolescent Psychiatry Physician
25MB09244600
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
M7951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079FT
BCBS
TX
05
—
191795701
—
TX
05
—
200121090A
—
OK
01
—
595410
VALUEOPTIONS
TX
01
—
9310085
AETNA BEHAVIORAL HEALTH
TX
Enumeration date
11/17/2006
Last updated
10/28/2015
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