MOLLY DEJESUS NURSE PRACTITIONER NPI 1750985388

NPI Information

  • NPI: 1750985388
  • Provider Name: MOLLY DEJESUS, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 MANHEIM AVE STE 7
    BRIDGETON, NJ
    ZIP 08302
  • Phone: (856) 451-4700

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NPI Details

Molly Dejesus, NURSE PRACTITIONER is a women's health nurse practitioner in Bridgeton, NJ with 6 years of experience. Molly Dejesus, NURSE PRACTITIONER NPI is 1750985388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 MANHEIM AVE STE 7
BRIDGETON, NJ
ZIP 08302-139
Phone: (856) 451-4700

The NPI 1750985388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/24/2020 and was last updated on 11/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health26NJ01083000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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