Healthcare Provider Details

I. General information

NPI: 1639767122
Provider Name (Legal Business Name): JESSICA PAULINE KNIGHT APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA PAULINE LEONARD

II. Dates (important events)

Enumeration Date: 01/09/2021
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3619
US

IV. Provider business mailing address

111 WHITE POND RD
WALDWICK NJ
07463-1349
US

V. Phone/Fax

Practice location:
  • Phone: 201-447-8000
  • Fax:
Mailing address:
  • Phone: 551-427-7834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01067100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: