Fatale, Jessica Marie

Fatale, Jessica Marie is an sole proprietor health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Fatale, Jessica Marie can be contacted via phone (973) 926-7131.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (973) 926-7131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 26NJ14967000 New Jersey

Profile Details

NPI number 1144096926
LBN Legal business name Fatale, Jessica Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2023
Last updated Dec 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers