Individual
JILL JACOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
301 BINGHAM AVE, OCEAN, NJ 07712-4762
(732) 775-3916
Mailing address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR13921600
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00393100
NJ
Other
Enumeration date
09/02/2012
Last updated
04/27/2016
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