Porter, Jeanette Marie

Porter, Jeanette Marie is an individual health care provider with primary practice located at 540 Lafayette Rd Suite D, Sparta NJ 07871-3497. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Porter, Jeanette Marie can be contacted via phone (973) 300-1553.

Contact Information

Primary practice address
540 Lafayette Rd Suite D Sparta NJ 07871-3497
Phone: (973) 300-1553
Fax: (973) 383-6236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3500 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3500 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00223600 New Jersey

Profile Details

NPI number 1679662480
LBN Legal business name Porter, Jeanette Marie
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 1st, 2009 - about 17 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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