Mrs. Jessica M Fatale
Nurse Practitioner, Neonatal in Newark, New Jersey
1144096926- Practice location
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone
- 973-926-7131
- Fax
- —
- Last updated
- December 13, 2023
Jessica Marie Fatale is a Nurse Practitioner, Neonatal based in Newark, NJ. Jessica Marie Fatale practices in Newark, NJ. The NPI Number for Jessica Marie Fatale is 1144096926 and holds a License No. 26NJ14967000 (NJ). The current practice location address for Jessica Marie Fatale is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7131.
Provider Profile Details
- NPI Number
- 1144096926
- Provider Name
- Jessica Marie Fatale
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone Number
- 973-926-7131
- Primary Taxonomy
- Nurse Practitioner, Neonatal · 363LN0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 1, 2023
- Last Update Date
- December 13, 2023
- Certification Date
- December 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Lyons Ave
Newark, NJ 07112-2027 - City
- Newark
- State
- New Jersey
- Zip
- 07112-2027
- Phone Number
- 973-926-7131
Provider Business Mailing Address Details
- Address
- 8 Elm Pl
Matawan, NJ 07747-3000 - City
- Matawan
- State
- NJ
- Zip
- 07747-3000
- Phone Number
- 917-715-9301
License Information
- License Number
- 26NJ14967000
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Neonatal · 363LN0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jessica M Fatale?
The NPI number of Mrs. Jessica M Fatale is 1144096926. It was assigned on December 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jessica M Fatale?
Mrs. Jessica M Fatale is registered under the primary taxonomy Nurse Practitioner, Neonatal (code 363LN0000X), licensed in NJ under license number 26NJ14967000.
Where does Mrs. Jessica M Fatale practice?
The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7131 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144096926 directly on the NPPES registry website.