Individual
JANNINE DENISE BOURNIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244-2300
(609) 653-3500
Mailing address
33 E STATION RD, OCEAN CITY, NJ 08226-4451
(856) 625-3547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00991600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26NJ00991600
—
NJ
Enumeration date
02/24/2020
Last updated
02/25/2020
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