Jessica Powers, APN | |
27 Pinckney Rd, Red Bank, NJ 07701-2179 | |
(732) 747-4600 | |
Not Available |
Full Name | Jessica Powers |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 27 Pinckney Rd, Red Bank, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417316241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 26NJ00622400 (New Jersey) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | 26NJ00622400 (New Jersey) | Secondary |
Entity Name | Malek Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205873601 PECOS PAC ID: 6103858824 Enrollment ID: O20050914000767 |
Mailing Address | Practice Location Address |
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Jessica Powers, APN 27 Pinckney Rd, Red Bank, NJ 07701-2179 Ph: (732) 747-4600 | Jessica Powers, APN 27 Pinckney Rd, Red Bank, NJ 07701-2179 Ph: (732) 747-4600 |
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