Individual
STACIE JANDIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, APN
Contact information
Practice address
989 BURNT TAVERN RD, BRICK, NJ 08724-2014
(732) 836-3049
Mailing address
989 BURNT TAVERN RD STE 2, BRICK, NJ 08724-2014
(732) 814-7924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00391200
NJ
Other
Enumeration date
04/10/2012
Last updated
11/23/2022
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