Provider Demographics
NPI:1245516632
Name:RAWLINGS, JADRIAN DANELLE (FNP-BC)
Entity type:Individual
Prefix:
First Name:JADRIAN
Middle Name:DANELLE
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 US HIGHWAY 206 S
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2402
Mailing Address - Country:US
Mailing Address - Phone:908-879-6818
Mailing Address - Fax:
Practice Address - Street 1:183 US HIGHWAY 206 S
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2402
Practice Address - Country:US
Practice Address - Phone:908-879-6818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-29
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00354300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily