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Phenita Sammantha Mouzon
Psychiatric/Mental Health Nurse Practitioner in Marlton, New Jersey
NPI 1003563636

Phenita Sammantha Mouzon is a Psychiatric/Mental Health Nurse Practitioner based in Toms River, NJ and is specialized in Psychiatric/Mental Health. Phenita Sammantha Mouzon practices in Marlton, NJ. The NPI Number for Phenita Sammantha Mouzon is 1003563636 and holds a License No. 26NJ01281000 (New Jersey).

The current practice location address for Phenita Sammantha Mouzon is 777 Route 70 E Ste G101, Marlton, NJ and can be reached out via phone at 856-818-4020.

Location: 777 Route 70 E Ste G101, Marlton, NJ, 08753-2062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003563636
Provider Name
Phenita Sammantha Mouzon
Credential
Provider Entity Type
Individual
Gender
Female
Address
777 Route 70 E Ste G101, Marlton, NJ, 08753-2062
Phone Number
856-818-4020
Fax Number
Provider Enumeration Date
03/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Route 70 E Ste G101
City
Marlton
State
New Jersey
Zip
08053-2548
Phone Number
856-818-4020
Fax Number
person
Provider Business Mailing Address Details
Address
777 Route 70 E Ste G101
City
Marlton
State
New Jersey
Zip
08053-2548
Phone Number
856-818-4020
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ01281000 (New Jersey)
Definition
Definition to come...
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