Individual provider · Type 1 NPI

Henrietta Bannerman

Psychiatric/Mental Health Nurse Practitioner · Hackensack, NJ

NPI number 1477974095 Active

Practice location

2 University Plz
Hackensack, NJ 07601-6202

Fax (646) 665-4427

Mailing address

274 Madison Ave Rm 1501
New York, NY 10016-0701

Other practice locations

  • 274 Madison Ave, New York, NY 10016-0701 · (212) 203-1773

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X678130 (NY)
Registered Nurse 163W00000X26NR20490500 (NJ)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X405453 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ14928000 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1477974095

Henrietta Bannerman's National Provider Identifier is 1477974095, issued on Dec 27, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 10, 2025.