KENICE KENLOCK CPNP-C APN RN NPI 1083211171

NPI Information

NPI: 1083211171
Provider Name: KENICE KENLOCK, CPNP-C, APN, RN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
190 S HARRISON ST
EAST ORANGE, NJ
ZIP 07018
Phone: (197) 367-4837
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Kenice Kenlock, CPNP-C, APN, RN is a pediatrics nurse practitioner in East Orange, NJ. Kenice Kenlock, CPNP-C, APN, RN NPI is 1083211171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

190 S HARRISON ST
EAST ORANGE, NJ
ZIP 07018-502
Phone: (197) 367-4837

The enumeration date for this NPI number is 10/2/2020 and was last updated on 11/23/2022.

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	163W00000X	Registered Nurse		802427	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	26NJ01398000	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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