| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA LAUREN SHOLK | 1912644642 | 2022-05-15 |
Jessica Lauren Sholk is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912644642. Registration indicates Jessica Lauren Sholk is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Nurse Practitioner: Critical Care Medicine, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Jessica Lauren Sholk APN |
| Practice Office Address | 94 OLD SHORT HILLS RD LIVINGSTON, NJ US |
| Practice Office Telephone | 9733225000 |
| Mailing Address | 1658 OHIO AVE NORTH BRUNSWICK, NJ 089021481 US |
| Business Telephone | 7323190215 |
| Code | Practice | License No State |
|---|---|---|
| 363LC0200X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Critical Care Medicine All Other Specialties & Provider Types Nurse Practitioner Critical Care Medicine Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 26NJ01248600
NJ |