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NPI 1164112868 · Licensed Practical Nurse · Jersey City, NJ
Provider details
- NPI number
- 1164112868
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26NP06173300 (NJ)
Specialties & taxonomies
Nursing Service Providers
Practice location
395 Danforth Ave
Jersey City, NJ 07305-1975
Phone: (201) 200-9801
Fax: (201) 324-0735
Approximate (ZIP-level) locationGet directions
Mailing address
395 Danforth Ave
Jersey City, NJ 07305-1975
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.