Provider Demographics
NPI:1558396200
Name:HASSAY, JANE IRENE (RN APN-C)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:IRENE
Last Name:HASSAY
Suffix:
Gender:F
Credentials:RN APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-1526
Mailing Address - Country:US
Mailing Address - Phone:732-324-2914
Mailing Address - Fax:
Practice Address - Street 1:39 BRACE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2624
Practice Address - Country:US
Practice Address - Phone:856-345-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00001900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJQ39285Medicare UPIN