Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LILA IVAN, RRT
Active Sole ProprietorJESSICA LILA IVAN, RRT is a 2279P1006X healthcare provider located in MADISON, New Jersey. NPI 1730836313 is currently active in the NPPES registry. Verify at CMS.
2279P1006X · MADISON, NJ
Registration Details
- NPI Number
- 1730836313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2022 (4.4106303917002 yrs)
- Last Updated
- Mar 3, 2022
- License
-
43ZA00512900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 MADISON AVE FL 3MADISON, NJ, 079401868Browse NJ providers · Browse ZIP 07940
- Phone
- 9738222772
- Primary Specialty
-
2279P1006X
2279P1006X
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.