Doctor Name: | MRS. JENNIFER SCIRIA |
NPI Number: | 1962899658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN-C |
License Number: | 26NJ00564200 |
Business Practice Address: | 333 Forsgate Dr Suite 205 Jamesburg, NJ - 088311567 |
Business Phone Number: | 7325211210 |
Business Fax Number: | |
Mailing Address: | 3 Bobby Jones Ct, FARMINGDALE |
State: | NJ |
Postal Code: | 077273868 |
Phone Number: | 7326872210 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2015 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 26NJ00564200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |