Individual
JULIANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4450 BLACK HORSE PIKE STE 3972, MAYS LANDING, NJ 08330-3117
(609) 365-6217
(609) 653-1439
Mailing address
1 E. NEW YORK AVE, 4TH FLOOR ADMIN, SOMERS POINT, NJ 08244
(609) 653-3265
(609) 926-4311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP001302
NJ
Other
Enumeration date
06/03/2006
Last updated
08/17/2023
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