Individual
JORDAN BRIELLE RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 STOCKTON DR, TOMS RIVER, NJ 08755-6433
(732) 221-4397
Mailing address
505 HAYNES RUN, MEDFORD, NJ 08055-2205
(732) 221-4397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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