Organization · Type 2 NPI
Dominion Health
Psychiatric/Mental Health Nurse Practitioner · Green Brook, NJ
NPI number
1235757485
Active
Practice location
933 N Washington Ave Ste 2C
Green Brook, NJ 08812-2600
Mailing address
245 Bayville Ave
Bayville, NJ 08721-1050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1235757485
Dominion Health's National Provider Identifier is 1235757485, issued on Jul 13, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Green Brook, NJ. The record was last updated on Oct 26, 2026.