Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00263100 | NJ |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ00263100 | NJ |
NPI | 1588993125 |
---|---|
Provider Name | Mrs. Jasmine Garces-King |
First Address | Colonia, NJ 07067-3636 |
Second Address | Jersey City, NJ 07306-1121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2009 |
Last Update Date | 10/12/2009 |