Individual
JESSICA A NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
36 AIRPORT RD, LAKEWOOD, NJ 08701-7034
(212) 201-1252
Mailing address
506 GREEN ST, BOONTON, NJ 07005-1523
(845) 421-5414
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
600239-1
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
26NR23181700
NJ
Other
Enumeration date
07/03/2018
Last updated
05/14/2026
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