Augustensen, Jaclyn Michelle

Augustensen, Jaclyn Michelle is an individual health care provider with primary practice located at 615 Hope Rd Building 5A, Eatontown NJ 07724-1277. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Augustensen, Jaclyn Michelle can be contacted via phone (732) 571-1000.

Contact Information

Primary practice address
615 Hope Rd Building 5A Eatontown NJ 07724-1277
Phone: (732) 571-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00211300 New Jersey

Profile Details

NPI number 1699928234
LBN Legal business name Augustensen, Jaclyn Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated May 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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