Provider Demographics
NPI:1710712005
Name:EGGERS, JESSICA E (APN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:E
Last Name:EGGERS
Suffix:
Gender:F
Credentials:APN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 US HIGHWAY 130 STE 11 #1016
Mailing Address - Street 2:
Mailing Address - City:E. WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2788
Mailing Address - Country:US
Mailing Address - Phone:732-641-0041
Mailing Address - Fax:
Practice Address - Street 1:440 US HIGHWAY 130 STE 11 #1016
Practice Address - Street 2:
Practice Address - City:E. WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2788
Practice Address - Country:US
Practice Address - Phone:732-641-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15118000363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health