Jean, Manouchka

Jean, Manouchka is an individual health care provider with primary practice located at 190 S Harrison St , East Orange NJ 07018-1502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jean, Manouchka can be contacted via phone (973) 674-8373.

Contact Information

Primary practice address
190 S Harrison St East Orange NJ 07018-1502
Phone: (973) 674-8373
Fax: (973) 552-2805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NJ00908300 New Jersey

Profile Details

NPI number 1396300265
LBN Legal business name Jean, Manouchka
Credentials DNP, APN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2019
Last updated May 7th, 2019 - about 7 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.

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