Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JEANETTE MARIE PORTER, PHYSICIAN ASSISTANT
ActiveMRS. JEANETTE MARIE PORTER, PHYSICIAN ASSISTANT is a Surgical Physician Assistant healthcare provider located in SPARTA, New Jersey. NPI 1679662480 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SPARTA, NJ
Registration Details
- NPI Number
- 1679662480
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2006 (19.832243001949 yrs)
- Last Updated
- Oct 1, 2009
- Licenses
-
3500 (AZ)3500 (AZ)25MP00223600 (NJ)
Practice Information
- Address
-
540 LAFAYETTE RDSUITE DSPARTA, NJ, 078713497Browse NJ providers · Browse ZIP 07871
- Phone
- 9733001553
- Fax
- 9733836236
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SPARTA, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN F MESSINA | PA | 1568575819 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.