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Individual

MRS. JESSICA LAURA CAUCHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
12.5003
CT
363LN0000X
Neonatal Nurse Practitioner
26NJ00289000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ00289000
MEDICAL LICENSE
NJ
01
26NR13712700
MEDICAL LICENSE
NJ
Enumeration date
05/21/2010
Last updated
12/22/2024
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