Jessica L Susan, DNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Rumson, New Jersey
1760158984- Practice location
- 61 Carton St, Rumson, NJ 07760-1603
- Phone
- 732-533-4224
- Fax
- —
- Last updated
- June 16, 2022
Jessica Lyn Susan is a Nurse Practitioner, Psych/Mental Health based in Rumson, NJ. Jessica Lyn Susan practices in Rumson, NJ and has the professional credentials of DNP, PMHNP-BC. The NPI Number for Jessica Lyn Susan is 1760158984 and holds a License No. 28NJ01215600 (NJ). The current practice location address for Jessica Lyn Susan is 61 Carton St, Rumson, NJ 07760-1603 and can be reached out via phone at 732-533-4224.
Provider Profile Details
- NPI Number
- 1760158984
- Provider Name
- Jessica Lyn Susan
- Credential
- DNP, PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 61 Carton St, Rumson, NJ 07760-1603
- Phone Number
- 732-533-4224
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 18, 2021
- Last Update Date
- June 16, 2022
- Certification Date
- June 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Carton St
Rumson, NJ 07760-1603 - City
- Rumson
- State
- New Jersey
- Zip
- 07760-1603
- Phone Number
- 732-533-4224
Provider Business Mailing Address Details
- Address
- 61 Carton St
Rumson, NJ 07760-1603 - City
- Rumson
- State
- NJ
- Zip
- 07760-1603
License Information
- License Number
- 28NJ01215600
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Jessica L Susan, DNP, PMHNP-BC?
The NPI number of Jessica L Susan, DNP, PMHNP-BC is 1760158984. It was assigned on August 18, 2021 and is currently active in the NPPES registry.
What is the specialty of Jessica L Susan, DNP, PMHNP-BC?
Jessica L Susan, DNP, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 28NJ01215600.
Where does Jessica L Susan, DNP, PMHNP-BC practice?
The practice location is 61 Carton St, Rumson, NJ 07760-1603. The office can be reached at 732-533-4224 (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 1760158984 directly on the NPPES registry website.