Individual
JESSICA LYNN MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
80 GLEN AVE, WEST ORANGE, NJ 07052-4940
(732) 546-7496
Mailing address
80 GLEN AVE, WEST ORANGE, NJ 07052-4940
(732) 546-7496
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
26NR14044200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01229500
NJ
Other
Enumeration date
09/11/2018
Last updated
11/15/2021
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