Individual
MRS. CHERION JASMINE FULLERTON-COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1295 STATE STREET, HILLSIDE, NJ 07205
(973) 277-7596
Mailing address
1295 STATE ST, HILLSIDE, NJ 07205-2319
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00683100
NJ
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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