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Stephanie Wickman, PA

Physician Assistant in Neptune, NJ. Individual provider (NPI-1).

NPI number1033045356
StatusActive
Last updated in NPPESAug 13, 2026

Details

NPI
1033045356
Entity type
Individual (NPI-1)
Name
Stephanie Wickman
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2026
Certification date
Aug 13, 2026
Last updated
Aug 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant25MP01032000NJYes

Practice location

1945 Route 33
Fl 4 Ackerman
Neptune, NJ 07753

Phone 732-776-4949

Mailing address

331 Newman Springs Rd
Bldg 2, Ste 220
Red Bank, NJ 07701-5688

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