Provider Demographics
NPI:1285923839
Name:JASKOWAK-CRESSE, NANCY (ANP-C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:JASKOWAK-CRESSE
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 GANTOWN RD.
Mailing Address - Street 2:SUITE B3
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080
Mailing Address - Country:US
Mailing Address - Phone:856-740-9777
Mailing Address - Fax:856-740-9990
Practice Address - Street 1:438 GANTOWN RD.
Practice Address - Street 2:SUITE B3
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-740-9777
Practice Address - Fax:856-740-9990
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N006603400363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health