| NPI | 1770173858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE STEPHANIE NELSON Authorized Official 856-423-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2024-01-23 |