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1619722972
SUSAN CAPRICE JACKSON
LUMBERTON, NJ
NPI
1619722972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ15059000)
Enumeration Date
2024-04-20
Last Update Date
2024-04-30
Business Address
SUSAN CAPRICE JACKSON PMHNP-BC
14 WESTMINSTER DR
LUMBERTON, NJ 08048-5064
Phone number: 917-400-5108
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Mailing Address
SUSAN CAPRICE JACKSON PMHNP-BC
14 WESTMINSTER DR
LUMBERTON, NJ 08048-5064
Phone number: 917-400-5108
Copy
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