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Contact Information

MANOUCHKA JEAN, DNP, APN, CPNP
190 S HARRISON ST
EAST ORANGE, NJ07018-1502
 Phone: 973-674-8373
 Fax: 973-552-2805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MANOUCHKA JEAN · (Female)

NPI Number 1396300265
Status Active
Credentials DNP, APN, CPNP
Entity Individual
Enumeration date 05/07/2019
Last updated 05/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00908300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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