IndividualActive
Jessica Fatale
NPI 1144096926 · Neonatal Nurse Practitioner · Newark, NJ
Provider details
- NPI number
- 1144096926
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NJ14967000 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7131
Approximate (ZIP-level) locationGet directions
Mailing address
8 Elm Pl
Matawan, NJ 07747-3000
Registry dates
- Enumerated
- 2023-12-01
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.