Individual
JESSICA CAROLINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1912 STATE ROUTE 35 STE 101, OAKHURST, NJ 07755-2768
(732) 222-4762
Mailing address
1912 STATE ROUTE 35 STE 101, OAKHURST, NJ 07755-2768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19606300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ14979200
NJ
Other
Enumeration date
11/13/2023
Last updated
12/21/2023
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