Individual
MRS. JESSICA ARBETH MADDOX VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
106 LUPINE LN, PENNS GROVE, NJ 08069-2241
(609) 617-5229
Mailing address
106 LUPINE LN, PENNS GROVE, NJ 08069-2241
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00325000
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
SP008840
PA
Other
Enumeration date
01/10/2007
Last updated
10/30/2011
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