SearchNew Jersey101YM0800X

Elyce Jackson

NPI 1942708268 · on the registry since 2018

Practice

Address
10 Industrial Way
Eatontown, NJ 07724
Phone
(732) 673-3183

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey