Dr. Stephanie Dejesus, RN, APN, AGACNP-BC
Nurse Practitioner, Critical Care Medicine in Marlton, NJ. Individual provider (NPI-1).
NPI number1992274245
StatusActive
Last updated in NPPESDec 19, 2024
Details
- NPI
- 1992274245
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Dejesus
- Credential
- RN, APN, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2018
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LC0200X | Nurse Practitioner, Critical Care Medicine | 26NJ00835000 | NJ | Yes |
| 163W00000X | Registered Nurse | 26NR12453000 | NJ |
Practice location
141 Route 70 E Ste BMarlton, NJ 08053-1855
Phone 856-596-9057 · Fax 856-596-0837
Mailing address
301 Lippincott Dr Ste 410Marlton, NJ 08053-4197
Phone 856-355-0340 · Fax 856-355-0330
Other practice locations
239 Hurffville Crosskeys Rd Ste 360a
Sewell, NJ 08080-4002
Sewell, NJ 08080-4002
Phone 856-341-8390 · Fax 856-341-8179
401 Young Ave Ste 165
Moorestown, NJ 08057-3131
Moorestown, NJ 08057-3131
Phone 856-235-4656 · Fax 856-235-4786
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