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Individual

MRS. JESSICA ANNE MARIE GUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.P.N

Contact information

Practice address
21 OHIO TRL, MEDFORD, NJ 08055-8931
(856) 308-7975
Mailing address
21 OHIO TRL, MEDFORD, NJ 08055-8931
(856) 308-7975

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00490600
NJ
363L00000X
Nurse Practitioner
26NR15937400
NJ
363LF0000X
Family Nurse Practitioner
26NJ00490600
NJ

Other

Enumeration date
04/03/2014
Last updated
05/18/2022
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