Individual
BLESSING JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 EVERGREEN PL, EAST ORANGE, NJ 07018-2106
(973) 731-3800
Mailing address
72 DALES AVE, JERSEY CITY, NJ 07306-6802
(201) 658-5738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14967600
NJ
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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