Provider Demographics
NPI:1073859781
Name:PESCE, JESSICA M (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:M
Last Name:PESCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1480
Mailing Address - Country:US
Mailing Address - Phone:732-292-9900
Mailing Address - Fax:
Practice Address - Street 1:629 HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1480
Practice Address - Country:US
Practice Address - Phone:732-292-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00763800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor