MRS. JEANETTE MARIE PORTER PHYSICIAN ASSISTANT
NPI 1679662480
Physician Assistant - Surgical in Sparta, NJ
- Individual
- Female
- Physician Assistant
- Surgical
About JEANETTE PORTER
This page provides the complete NPI Profile along with additional information for Jeanette Porter, a provider established in Sparta, New Jersey with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1679662480 assigned on October 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 25MP00223600 (NJ). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1679662480 Verify this NPI
- Provider Name
- MRS. JEANETTE MARIE PORTER PHYSICIAN ASSISTANT
- Other Name
- JEANETTE MARIE POWERS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 540 LAFAYETTE RD SUITE D SPARTA, NJ 07871
- Location Phone
- (973) 300-1553
- Location Fax
- (973) 383-6236
- Mailing Address
- 540 LAFAYETTE RD SUITE D SPARTA, NJ 07871
- Mailing Phone
- (973) 300-1553
- Mailing Fax
- (973) 383-6236
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-11-2006
- Last Update Date
- 10-01-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 25MP00223600
- License State
- NJ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 3500 (AZ) |
| 2 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 3500 (AZ) |
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679662480, enumerated as an "individual" on October 11, 2006.
The provider is located at 540 LAFAYETTE RD SUITE D SPARTA, NJ 07871 and the phone number is (973) 300-1553.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
