Individual
JAZMINE NESBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
315 S HARRISON ST, EAST ORANGE, NJ 07018-1489
(973) 474-0289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ14895100
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ14895100
NJ
Other
Enumeration date
08/08/2023
Last updated
05/03/2024
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