Individual provider · Type 1 NPI

Etienne Kenfack, APN

Primary Care Nurse Practitioner · Jersey City, NJ

NPI number 1033677679 Active

Practice location

191 Palisade Ave
Jersey City, NJ 07306-1112

Fax (201) 656-4019

Mailing address

42 Chester Ave
Irvington, NJ 07111-3142

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X26NJ00905700 (NJ)
Primary Care Nurse Practitioner Primary 363LP2300X26NJ00905700 (NJ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1033677679

Etienne Kenfack, APN's National Provider Identifier is 1033677679, issued on Mar 2, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Jersey City, NJ. The record was last updated on Mar 2, 2019.