Whalio Doctors

NPI 1194368415

Ginger Jones Jackson

Practitioner Mental Illness Community Based Residential Treatment Facility East Orange, NJ

Practice location

Address
162 S Clinton St, East Orange, NJ 07018-3040
Phone
(973) 943-8417
Mailing address
190 Knollwood Dr, Easton, PA 18042-7116

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1194368415
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Oct 2019
Record last updated
18 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.