MRS. CHERION JASMINE FULLERTON-COLEY


Address: 1295 State Street, Hillside, NJ 07205
Phone: 9732777596

MRS. CHERION JASMINE FULLERTON-COLEY (NPI# 1851810832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851810832
Entity Type Individual
Full Name MRS. CHERION JASMINE FULLERTON-COLEY
Credential APN
Practice Address 1295 State Street
Hillside
NJ 07205
Mailing Address 1295 State St
Hillside
NJ 07205-2319
Practice Telephone 9732777596
Enumeration Date 2017-09-11
Last Update Date 2017-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
26NJ00683100 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1295 STATE STREET
City HILLSIDE
State NJ
Zip Code 07205

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City HILLSIDE
Zip Code 07205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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