Individual provider · Type 1 NPI

Nichole Cecilia Jenisch, R.N., A.P.N., C

Nurse Practitioner · East Hanover, NJ

NPI number 1235310012 Active

Practice location

1 Health Plz Bldg 315
East Hanover, NJ 07936-1016

Fax (973) 791-6505

Mailing address

PO Box 416457
Boston, MA 02241-6457

Other practice locations

  • 13A Main St Ste 7, Sparta, NJ 07871-1941 · (973) 726-0355
  • 101 Madison Ave Ste 202, Morristown, NJ 07960-7305 · (862) 778-7960

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00139200 (NJ)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNJ00139200 (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 1235310012

Nichole Cecilia Jenisch, R.N., A.P.N., C's National Provider Identifier is 1235310012, issued on Nov 20, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Hanover, NJ. The record was last updated on Oct 29, 2025.