Individual provider · Type 1 NPI
Susan Jefferson, APN
Psychiatric/Mental Health Nurse Practitioner · Irvington, NJ
NPI number
1851038723
Active
Practice location
251 Munn Ave Apt 1A
Irvington, NJ 07111-5712
Mailing address
PO Box 1180
Maplewood, NJ 07040-0453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 26NJ01290400 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01290400 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1851038723
Susan Jefferson, APN's National Provider Identifier is 1851038723, issued on May 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Irvington, NJ. The record was last updated on May 12, 2022.