Individual
JACQUELYN DEANNA SIRGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
95 VERVALEN STREET, CLOSTER, NJ 07624
(551) 202-7399
Mailing address
95 VERVALEN STREET, CLOSTER, NJ 07624
(551) 202-7399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14846500
NJ
363LF0000X
Family Nurse Practitioner
F345052-01
NY
Other
Enumeration date
10/10/2019
Last updated
01/26/2024
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