Active NPIIndividual providerSole proprietor

Blessing Jackson

Nurse Practitioner, Family in East Orange, New Jersey

NPI Number1477321685
Practice location
60 Evergreen Pl, East Orange, NJ 07018-2106
Fax
—
Last updated
December 18, 2023

Blessing Jackson is a Nurse Practitioner, Family based in East Orange, NJ. Blessing Jackson practices in East Orange, NJ. The NPI Number for Blessing Jackson is 1477321685 and holds a License No. 26NJ14967600 (NJ). The current practice location address for Blessing Jackson is 60 Evergreen Pl, East Orange, NJ 07018-2106 and can be reached out via phone at 973-731-3800.

Provider Profile Details

NPI Number
1477321685
Provider Name
Blessing Jackson
Provider Entity Type
Individual
Gender
Female
Address
60 Evergreen Pl, East Orange, NJ 07018-2106
Phone Number
973-731-3800
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Other Names
Blessing Agogbua, BLESSING OFURUM (Other Name)
Provider Enumeration Date
December 18, 2023
Last Update Date
December 18, 2023
Certification Date
December 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Evergreen Pl
East Orange, NJ 07018-2106
Zip
07018-2106
Phone Number
973-731-3800
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
72 Dales Ave
Jersey City, NJ 07306-6802
City
Jersey City
State
NJ
Zip
07306-6802
Phone Number
201-658-5738

License Information

License Number
26NJ14967600
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Blessing Jackson?

The NPI number of Blessing Jackson is 1477321685. It was assigned on December 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Blessing Jackson?

Blessing Jackson is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ14967600.

Where does Blessing Jackson practice?

The practice location is 60 Evergreen Pl, East Orange, NJ 07018-2106. The office can be reached at 973-731-3800 (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 1477321685 directly on the NPPES registry website.

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