Individual provider · Type 1 NPI

Jackito Jugan Daitol, NP

Adult Health Nurse Practitioner · East Orange, NJ

NPI number 1891762662 Active

Practice location

385 Tremont Ave
East Orange, NJ 07018-1023

Fax (973) 395-7003

Mailing address

801 Walnut St
Roselle Park, NJ 07204-1350

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NN09365100 (NJ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1891762662

Jackito Jugan Daitol, NP's National Provider Identifier is 1891762662, issued on Mar 1, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Orange, NJ. The record was last updated on Oct 22, 2012.