Individual
MISS JAMIE ANN DEBOUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1907 NEW RD, NORTHFIELD, NJ 08225-1545
(609) 645-8884
Mailing address
151 FRIES MILL RD, STE 202, BLACKWOOD, NJ 08012-2057
(855) 727-2465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR129390000
NJ
163W00000X
Registered Nurse
RN575581
PA
363L00000X
Nurse Practitioner
Primary
26NJ00185000
NJ
363LA2200X
Adult Health Nurse Practitioner
SP010169
PA
363LF0000X
Family Nurse Practitioner
SP011146
PA
Other
Enumeration date
04/24/2009
Last updated
12/04/2018
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