Active NPIIndividual provider

Immacula Jean-Charles, FNP

Nurse Practitioner, Family in Garwood, New Jersey

NPI Number1871002139
Practice location
10 South Ave Ste 4, Garwood, NJ 07027-1338
Fax
—
Last updated
July 1, 2024

Immacula Jean-Charles is a Nurse Practitioner, Family based in Garwood, NJ. Immacula Jean-Charles practices in Garwood, NJ and has the professional credentials of FNP. The NPI Number for Immacula Jean-Charles is 1871002139 and holds a License No. F341478 (NY). The current practice location address for Immacula Jean-Charles is 10 South Ave Ste 4, Garwood, NJ 07027-1338 and can be reached out via phone at 732-242-9330.

Provider Profile Details

NPI Number
1871002139
Provider Name
Immacula Jean-Charles
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
10 South Ave Ste 4, Garwood, NJ 07027-1338
Phone Number
732-242-9330
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2017
Last Update Date
July 1, 2024
Certification Date
July 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 South Ave Ste 4
Garwood, NJ 07027-1338
Zip
07027-1338
Phone Number
732-242-9330
Garwood, NJ 07027Get directions →

Provider Business Mailing Address Details

Address
10 South Ave Ste 4
Garwood, NJ 07027-1338
City
Garwood
State
NJ
Zip
07027-1338
Phone Number
732-242-9330

License Information

License Number (1)
F341478
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NJ00943600
License State (2)
NJ
Taxonomy (2)
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 Immacula Jean-Charles, FNP?

The NPI number of Immacula Jean-Charles, FNP is 1871002139. It was assigned on September 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Immacula Jean-Charles, FNP?

Immacula Jean-Charles, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F341478.

Where does Immacula Jean-Charles, FNP practice?

The practice location is 10 South Ave Ste 4, Garwood, NJ 07027-1338. The office can be reached at 732-242-9330 (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 1871002139 directly on the NPPES registry website.

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