| Doctor Name: | JESSICA A TIMMERMAN |
| NPI Number: | 1225477904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS-FNP |
| License Number: | F338012 |
| Business Practice Address: | 4 Ryan Rd Marlboro, NJ - 077462445 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | |
| Mailing Address: | 1 Woodland Ave, CREAM RIDGE |
| State: | NJ |
| Postal Code: | 085142335 |
| Phone Number: | 7325802589 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2013 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F338012 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |