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Jacques Myriama Lucien
Psychiatric/Mental Health Nurse Practitioner in Fort Lee, New Jersey
NPI 1336700806

Jacques Myriama Lucien is a Psychiatric/Mental Health Nurse Practitioner based in Fort Lee, NJ and is specialized in Psychiatric/Mental Health. Jacques Myriama Lucien practices in Fort Lee, NJ. The NPI Number for Jacques Myriama Lucien is 1336700806 and holds a License No. 402687 (New Jersey).

The current practice location address for Jacques Myriama Lucien is 800 Park Ave, Fort Lee, NJ and can be reached out via phone at 908-659-6250.

Location: 800 Park Ave, Fort Lee, NJ, 07024-1084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336700806
Provider Name
Jacques Myriama Lucien
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 Park Ave, Fort Lee, NJ, 07024-1084
Phone Number
908-659-6250
Fax Number
Provider Enumeration Date
06/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Park Ave
City
Fort Lee
State
New Jersey
Zip
07024-3771
Phone Number
908-659-6250
Fax Number
person
Provider Business Mailing Address Details
Address
800 Park Ave
City
Fort Lee
State
New Jersey
Zip
07024-3771
Phone Number
908-659-6250
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
402687 (New York)
Definition
Definition to come...
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