Individual
JO-ANN S DEJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN,AGNP-C
Contact information
Practice address
66 PARK ST, MONTCLAIR, NJ 07042-5908
(973) 577-3010
Mailing address
66 PARK ST, MONTCLAIR, NJ 07042-5908
(973) 577-3010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ01060500
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01060500
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01060500
NJ
Other
Enumeration date
01/25/2021
Last updated
03/03/2021
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