Organization Name: | SOUTH JERSEY NURSE PRACTITIONERS SERVICES |
NPI Number: | 1184964868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAJAH ONUOHA (OWNER) |
Mailing Address: | 100 N Black Horse Pike Suite C Blackwood |
State: | NJ US |
Postal Code: | 080123042 |
Phone Number: | 8562281989 |
Fax Number: | 8562281934 |
NPI Enumeration Date: | 02/18/2013 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00379200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |