Individual provider · Type 1 NPI

Javicia N. Peterson-Cole

Adult Health Nurse Practitioner · West Orange, NJ

NPI number 1336404201 Active

Practice location

101 Old Short Hills Rd, Suite 401
West Orange, NJ 07052-1000

Fax (973) 322-6418

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ00311500 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1336404201

Javicia N. Peterson-Cole's National Provider Identifier is 1336404201, issued on Jul 6, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in West Orange, NJ. The record was last updated on Feb 5, 2015.