Individual
JASMINE BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1536 NORTHAMPTON ST, EASTON, PA 18042-3130
(732) 456-7777
(848) 251-2189
Mailing address
1580 LAKEWOOD RD STE 16A, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021363
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP021363
STATE LICENSE
PA
Enumeration date
01/13/2020
Last updated
11/27/2023
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