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Individual

DR. STEPHANIE DEJESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APN, AGACNP-BC

Contact information

Practice address
141 ROUTE 70 E STE B, MARLTON, NJ 08053-1855
(856) 596-9057
(856) 596-0837
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR12453000
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
26NJ00835000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0667030
NJ
Enumeration date
11/15/2018
Last updated
12/19/2024
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