Individual
JESSICA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 S HARRISON ST APT 404L, EAST ORANGE, NJ 07018-1716
(862) 704-8183
Mailing address
94 S HARRISON ST APT 404L, EAST ORANGE, NJ 07018-1716
(862) 704-8183
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
NA200047004
NJ
376K00000X
Nurse's Aide
Primary
NA200047004
NJ
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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