Individual provider · Type 1 NPI
Kinjalben Mounesh Shukla
Adult Health Nurse Practitioner · Clark, NJ
NPI number
1306643242
Active
Practice location
Westfield Ave,, 2 Westfeild Ave
Clark, NJ 07066
Fax (908) 208-6492
Mailing address
2 Westfield Ave
Clark, NJ 07066-3226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ15284400 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1306643242
Kinjalben Mounesh Shukla's National Provider Identifier is 1306643242, issued on Feb 27, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Clark, NJ. The record was last updated on Jul 30, 2026.