Individual
JESSICA OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
338 UNION AVE, RUTHERFORD, NJ 07070-1563
(201) 842-0501
Mailing address
338 UNION AVE, RUTHERFORD, NJ 07070-1563
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00867500
NJ
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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