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General NPI Number Information
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NPI Number | 1477343895
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Entity Type | Individual
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Provider Name | ROCIO A JENKINS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 501 NEW JERSEY 17
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City | PARAMUS
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State | NJ
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Zip | 07652
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Country | US
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Telephone | 201-690-2182
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Fax | 201-304-0323
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Provider Business Mailing Address
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Address Line | 508-510 MT PROSPECT AVE
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City | NEWARK
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State | NJ
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Zip | 07104
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Country | US
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Telephone | 866-508-4803
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15324200
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License Number State | NJ
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