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NPI Code Detail

MEDICARE: JESSICA HAINES APN

MEDICARE: JESSICA HAINES APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NJ00318600NJ

General Provider Information

NPI Number : 1821028432
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HAINES APN
Provider Business Mailing Address
First Line : 76 STIRLING RD
Second Line : SUITE 201
City : WARREN
State : NJ
Zip : 07059-5778
Country : US
Telephone Number : 908-755-3457
Fax Number : 908-755-6905
Provider Business Practice Location Address
First Line : 76 STIRLING RD
Second Line : SUITE 201
City : WARREN
State : NJ
Zip : 07059-5778
Country : US
Telephone Number : 908-755-3457
Fax Number : 908-755-6905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 03/07/2023

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