Healthcare Provider Details

I. General information

NPI: 1124941935
Provider Name (Legal Business Name): JESSICA ANNE JIRAK MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33
NEPTUNE CITY NJ
07753-4859
US

IV. Provider business mailing address

48 REDWOOD DR
TOMS RIVER NJ
08753-3643
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-2499
  • Fax: 732-776-2344
Mailing address:
  • Phone: 732-776-2499
  • Fax: 732-776-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15618500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: