Individual
JACKLYN LILLIAN IGNIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
225 HIGHWAY 35 STE 102, RED BANK, NJ 07701-5919
(732) 530-5515
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(732) 530-5515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ01447900
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01447900
NJ
Other
Enumeration date
03/01/2023
Last updated
07/06/2025
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