Individual
JESSICA BARBOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 865-2050
Mailing address
38 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2925
(201) 647-6257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NJ00655100
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00655100
NJ
Other
Enumeration date
08/30/2016
Last updated
04/26/2021
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