Individual
JESSI D GIACOPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
360 ROUTE 70, LAKEWOOD, NJ 08701-5823
(732) 942-9835
Mailing address
PO BOX 307, NEPTUNE, NJ 07754-0307
(732) 897-0200
(732) 897-0263
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00242400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NO12366200
MEDICAL LICENSE
NJ
Enumeration date
05/13/2009
Last updated
07/19/2023
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