Karissa Bourbeau
Physician Assistant · Marmora, NJ
Practice location
44 Margate AveMarmora, NJ 08223-1603
- Phone
- (609) 816-4789
NPI record
- NPI
- 1720600034
- Entity type
- Individual (Type 1)
- Enumeration date
- May 8, 2020
- Last updated
- August 25, 2020
- Certified
- August 25, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
25MP00570500 | NJ |
About Karissa Bourbeau
Karissa Bourbeau is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 44 Margate Ave, Marmora, NJ 08223-1603. The NPI number 1720600034 was assigned on May 8, 2020 and the record was last updated on August 25, 2020.
Karissa Bourbeau lists a license in the registry: #25MP00570500 (NJ) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Karissa Bourbeau?
The NPI number is 1720600034.
What is the phone number of Karissa Bourbeau?
The phone number listed for the practice location is (609) 816-4789.
Where is Karissa Bourbeau located?
44 Margate Ave, Marmora, NJ 08223-1603.
What is the taxonomy code for Karissa Bourbeau?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Marmora
- Charles Mark Middleton, PA-C108 Roosevelt Blvd