Jessica L O'Brien, NP
Nurse Practitioner in Lanoka Harbor, NJ. Individual provider (NPI-1).
NPI number1679909501
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1679909501
- Entity type
- Individual (NPI-1)
- Name
- Jessica L O'Brien
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2013
- Certification date
- Sep 29, 2022
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ00465600 | NJ | Yes |
| 363LF0000X | Nurse Practitioner, Family | 26NJ00465600 | NJ | |
| 363LF0000X | Nurse Practitioner, Family | R209137 | MD |
Practice location
539 Us Highway 9Lanoka Harbor, NJ 08734-2211
Phone 609-488-6266 · Fax 609-549-5600
Mailing address
1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone 908-273-4300
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