Individual
JESSICA FOURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753
(732) 775-5500
Mailing address
1945 ROUTE 33, NEPTUNE, NJ 07753
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR17246400
NJ
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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