MENTAL HEALTH NOURISHMENT NPI 1366989881

NPI Information

NPI: 1366989881
Provider Name: MENTAL HEALTH NOURISHMENT
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
81 2ND ST
SUITE 8
SOUTH ORANGE, NJ
ZIP 07079
Phone: (862) 283-7409
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MENTAL HEALTH NOURISHMENT is a psychiatric/mental health nurse practitioner in South Orange, NJ. MENTAL HEALTH NOURISHMENT NPI is 1366989881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

81 2ND ST
SUITE 8
SOUTH ORANGE, NJ
ZIP 07079-861
Phone: (862) 283-7409

The provider's authorized official is Lissa Edmond .
The authorized official title is Apn and has the following contact phone number (862) 283-7409.

The enumeration date for this NPI number is 1/22/2017 and was last updated on 4/20/2017.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00627000	NEW JERSEY	Yes

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: 5/5/2024

NPI Synchronization or Removal

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