Individual provider · Type 1 NPI
Melissa Denniston, APN -FAMILY PRACTICE
Nurse Practitioner · Montclair, NJ
Practice location
18-20 Lackawanna Plz Ste 300
Montclair, NJ 07042-3642
Fax (973) 869-2532
Mailing address
42 Sunnyside Ter
East Orange, NJ 07018-2394
Other practice locations
- 2933 Vauxhall Rd Ste 7, Vauxhall, NJ 07088-1248 · (979) 733-9220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 26NJ15130800 (NJ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1083449995
Melissa Denniston, APN -FAMILY PRACTICE's National Provider Identifier is 1083449995, issued on Sep 3, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Montclair, NJ. The record was last updated on May 13, 2026.