Individual
JESSICA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
27 PINCKNEY RD, RED BANK, NJ 07701-2179
(732) 747-4600
Mailing address
27 PINCKNEY RD, RED BANK, NJ 07701-2179
(732) 747-4600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00622400
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00622400
NJ
Other
Enumeration date
02/22/2016
Last updated
01/03/2017
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