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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTINE JACKIEWICZ

Active Sole Proprietor

KRISTINE JACKIEWICZ is a Supports Brokerage Agency healthcare provider located in NEW EGYPT, New Jersey. NPI 1790466704 is currently active in the NPPES registry. Verify at CMS.

Supports Brokerage Agency · NEW EGYPT, NJ

Registration Details

NPI Number
1790466704
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2023 (3.0755697813362 yrs)
Last Updated
Jul 31, 2023
Sole Proprietor
Yes

Practice Information

Address
67 BRINDLETOWN RD
NEW EGYPT, NJ, 085331813
Browse NJ providers · Browse ZIP 08533
Phone
2156661689
Primary Specialty
Supports Brokerage Agency
251X00000X
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.