Individual
MS. JANET P MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, APN-C
Contact information
Practice address
6 HATHAWAY PL, GLEN RIDGE, NJ 07028-1507
(973) 743-8195
Mailing address
6 HATHAWAY PL, GLEN RIDGE, NJ 07028-1507
(973) 743-8195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN08609600
NJ
Other
Enumeration date
10/20/2006
Last updated
12/21/2011
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