Individual
JESSICA STAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN693581
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01037700
NJ
Other
Enumeration date
02/24/2020
Last updated
07/15/2020
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