Immacula Jean-Charles, FNP
Nurse Practitioner, Family in Garwood, NJ. Individual provider (NPI-1).
NPI number1871002139
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1871002139
- Entity type
- Individual (NPI-1)
- Name
- Immacula Jean-Charles
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2017
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00943600 | NJ | Yes |
| 363LF0000X | Nurse Practitioner, Family | F341478 | NY |
Practice location
10 South Ave Ste 4Garwood, NJ 07027-1338
Phone 732-242-9330
Mailing address
10 South Ave Ste 4Garwood, NJ 07027-1338
Phone 732-242-9330
Other practice locations
2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Lawrenceville, NJ 08648-4106
Phone 609-882-2577
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