Individual
JAMIE LYNN BOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-3283
Mailing address
2 HEMLOCK ST, MONTVALE, NJ 07645-2306
(201) 248-2199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00394500
NJ
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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