Provider Demographics
NPI:1174285894
Name:DOW, JESSICA ANNE (APN-FNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANNE
Last Name:DOW
Suffix:
Gender:F
Credentials:APN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 TIMOTHY ST
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3632
Mailing Address - Country:US
Mailing Address - Phone:732-966-5275
Mailing Address - Fax:
Practice Address - Street 1:240 PARKER AVE
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2804
Practice Address - Country:US
Practice Address - Phone:732-974-8100
Practice Address - Fax:732-974-9125
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJF09210992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily