Individual
JESSICA NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, MMS, PA-C
Contact information
Practice address
401 S VAN BRUNT ST, ENGLEWOOD, NJ 07631-4604
(201) 569-2770
Mailing address
38 LAWLEY DR, LINCROFT, NJ 07738-1553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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