Individual
JESSICA LASKARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 673-7336
Mailing address
40 WELLINGTON RD, LIVINGSTON, NJ 07039-4340
(914) 263-9720
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
576689-1
NY
363L00000X
Nurse Practitioner
Primary
26NJ00448300
NJ
363LF0000X
Family Nurse Practitioner
F336860-1
NY
Other
Enumeration date
07/22/2011
Last updated
04/24/2018
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