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

Mrs. Jeanette Marie Porter, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1679662480

Mrs. Jeanette Marie Porter, PHYSICIANASSISTANT is a Physician Assistant in Sparta, New Jersey. Licensed in Arizona and New Jersey. Registered with an NPI since 2006.

Licensed in
AZ, NJ
In the registry since
2006
Specialties on file
3

Practice location Address checks out

540 Lafayette Rd Ste D
Sparta, NJ 07871-3497
Phone: (973) 300-1553
Fax: (973) 383-6236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00223600 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 3500 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3500 (AZ)

Record details

NPI number1679662480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESOctober 1, 2009

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