Provider Demographics
NPI:1659512416
Name:YUNKER, JESSICA I (MS, LAC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:I
Last Name:YUNKER
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:697 VALLEY ST.
Mailing Address - Street 2:SUITE B2 WELLSPRING HEALTH COLLECTIVE
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2802
Mailing Address - Country:US
Mailing Address - Phone:917-596-6385
Mailing Address - Fax:
Practice Address - Street 1:697 VALLEY ST.
Practice Address - Street 2:SUITE B2 WELLSPRING HEALTH COLLECTIVE
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2802
Practice Address - Country:US
Practice Address - Phone:917-596-6385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00112900171100000X
NY003237171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist