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Individual

JENNIFER REBECCA LINCOLN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
150 DELSEA DR STE B, SEWELL, NJ 08080-9478
(856) 302-0500
(856) 302-0504
Mailing address
150 DELSEA DR STE B, SEWELL, NJ 08080-9478
(856) 302-0500
(856) 302-0504

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00458600
NJ
363AM0700X
Medical Physician Assistant
5051
AZ
363AM0700X
Medical Physician Assistant
PA21920
CA

Other

Enumeration date
02/24/2012
Last updated
01/23/2018
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