Individual
MS. JACLYN VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
40 ESSEX ST, BELLEVILLE, NJ 07109-2604
(201) 481-1954
Mailing address
40 ESSEX ST, BELLEVILLE, NJ 07109-2604
(201) 481-1954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00586900
NJ
Other
Enumeration date
10/13/2015
Last updated
02/13/2020
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