Individual
MS. JACQUELYN PLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
125 PATERSON ST STE 5100A, NEW BRUNSWICK, NJ 08901
(732) 235-7219
Mailing address
110 MAIN AVE, INERNAL MEDICINE, PASSAIC, NJ 07055-4427
(973) 777-0256
(973) 777-3910
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00081700
NJ
Other
Enumeration date
09/26/2008
Last updated
07/13/2018
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