Porco, Jennifer K

Porco, Jennifer K is an individual health care provider with primary practice located at 1 Sears Dr Ste 306 , Paramus NJ 07652-3510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Porco, Jennifer K can be contacted via phone (201) 830-2287.

Contact Information

Primary practice address
1 Sears Dr Ste 306 Paramus NJ 07652-3510
Phone: (201) 830-2287
Fax: (201) 830-2286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00436900 New Jersey

Profile Details

NPI number 1154767903
LBN Legal business name Porco, Jennifer K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Feb 5th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154767903 NPPES
Other 656665 MEDICARE PTAN

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