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Mrs. Jessica Marie Fatale
Neonatal Nurse Practitioner in Newark, New Jersey
NPI 1144096926

Jessica Marie Fatale is a Neonatal Nurse Practitioner based in Matawan, NJ and is specialized in Neonatal. Jessica Marie Fatale practices in Newark, NJ. The NPI Number for Jessica Marie Fatale is 1144096926 and holds a License No. 26NJ14967000 (New Jersey).

The current practice location address for Jessica Marie Fatale is 201 Lyons Ave, Newark, NJ and can be reached out via phone at 973-926-7131.

Location: 201 Lyons Ave, Newark, NJ, 07747-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144096926
Provider Name
Jessica Marie Fatale
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ, 07747-3000
Phone Number
973-926-7131
Fax Number
Provider Enumeration Date
12/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-7131
Fax Number
person
Provider Business Mailing Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-7131
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
26NJ14967000 (New Jersey)
Definition
Definition to come...
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