Individual
NICOLLE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
380 AVENUE E, BAYONNE, NJ 07002-4638
(551) 697-8673
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01346800
NJ
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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