Individual
JESSICA DE VITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
NP
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2400
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
26NJ15464000
NJ
Other
Enumeration date
05/05/2025
Last updated
01/07/2026
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