Healthcare Provider Details

I. General information

NPI: 1376477547
Provider Name (Legal Business Name): CHRISTNA PIERRE MARSEILLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 BREWERS BRIDGE RD APT 25D
JACKSON NJ
08527-1934
US

IV. Provider business mailing address

775 BREWERS BRIDGE RD APT 25D
JACKSON NJ
08527-1934
US

V. Phone/Fax

Practice location:
  • Phone: 862-334-0930
  • Fax: 862-334-0930
Mailing address:
  • Phone: 862-334-0930
  • Fax: 862-334-0930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360058
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: