Provider Demographics
NPI:1508212457
Name:COHN, JESSICA L (PA-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:COHN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5688
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:2500 ENGLISH CREEK AVE STE 222
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5598
Practice Address - Country:US
Practice Address - Phone:609-382-5066
Practice Address - Fax:609-909-0267
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2024-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00390800363A00000X
FLPA9110919363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant