Provider Demographics
NPI:1275699373
Name:NAPPER, JACQUELINE CARRIE (PSYD, PSYPHARM)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:CARRIE
Last Name:NAPPER
Suffix:
Gender:F
Credentials:PSYD, PSYPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 MARLBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3312
Mailing Address - Country:US
Mailing Address - Phone:908-754-8565
Mailing Address - Fax:908-754-8565
Practice Address - Street 1:1345 MARLBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3312
Practice Address - Country:US
Practice Address - Phone:908-754-8565
Practice Address - Fax:908-754-8565
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00319200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6494102Medicaid
NJSOO790Medicare UPIN
NJ6494102Medicaid