Individual provider · Type 1 NPI
Debra Fenderson-Ivery
Adult Health Nurse Practitioner · Hainesport, NJ
NPI number
1902306624
Active
Practice location
404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00743900 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in Hainesport
About NPI 1902306624
Debra Fenderson-Ivery's National Provider Identifier is 1902306624, issued on Feb 19, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hainesport, NJ. The record was last updated on Feb 19, 2018.