Individual
MR. JERMAINE A NNAETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
162 ELMORA AVE STE 416, ELIZABETH, NJ 07202-1148
(908) 488-6003
(908) 585-4995
Mailing address
162 ELMORA AVE STE 416, ELIZABETH, NJ 07202-1148
(908) 488-6003
(908) 585-4995
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14995300
NJ
Other
Enumeration date
01/26/2024
Last updated
10/07/2024
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