Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Karissa Bourbeau

Individual provider Physician Assistant · NPI 1720600034

Karissa Bourbeau is a Physician Assistant in Marmora, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

44 Margate Ave
Marmora, NJ 08223-1603
Phone: (609) 816-4789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00570500 (NJ)

Record details

NPI number1720600034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2020
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020
Mailing address44 Margate Ave, Marmora, NJ 08223-1603

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