Individual provider · Type 1 NPI

Jennifer A. Heck-Kanellidis, NP

Nurse Practitioner · Ocean, NJ

NPI number 1114088853 Active

Practice location

1300 State Route 35, Suite 102 Plaza 2
Ocean, NJ 07712-3537

Fax (732) 663-1179

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26N011956000 (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 1114088853

Jennifer A. Heck-Kanellidis, NP's National Provider Identifier is 1114088853, issued on Dec 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ocean, NJ. The record was last updated on Jul 8, 2007.