Individual
MISS JESSICA ANN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
194 BROAD ST, SUITE #4, BLOOMFIELD, NJ 07003-2606
(973) 680-8400
(973) 680-8404
Mailing address
194 BROAD ST, SUITE #4, BLOOMFIELD, NJ 07003-2606
(973) 680-8400
(973) 680-8404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00640300
NJ
Other
Enumeration date
05/21/2016
Last updated
05/21/2016
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