Active NPIIndividual provider

Etienne Kenfack, APN

Nurse Practitioner, Primary Care in Jersey City, New Jersey

NPI Number1033677679
Practice location
191 Palisade Ave, Jersey City, NJ 07306-1112
Fax
201-656-4019
Last updated
March 2, 2019

Etienne Kenfack is a Nurse Practitioner, Primary Care based in Jersey City, NJ. Etienne Kenfack practices in Jersey City, NJ and has the professional credentials of APN. The NPI Number for Etienne Kenfack is 1033677679 and holds a License No. 26NJ00905700 (NJ). The current practice location address for Etienne Kenfack is 191 Palisade Ave, Jersey City, NJ 07306-1112 and can be reached out via phone at 201-656-4324 and via fax at 201-656-4019.

Provider Profile Details

NPI Number
1033677679
Provider Name
Etienne Kenfack
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
191 Palisade Ave, Jersey City, NJ 07306-1112
Phone Number
201-656-4324
Fax Number
201-656-4019
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2019
Last Update Date
March 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
191 Palisade Ave
Jersey City, NJ 07306-1112
Zip
07306-1112
Phone Number
201-656-4324
Fax Number
201-656-4019
Jersey City, NJ 07306Get directions →

Provider Business Mailing Address Details

Address
42 Chester Ave
Irvington, NJ 07111-3142
City
Irvington
State
NJ
Zip
07111-3142
Phone Number
862-224-0668

License Information

License Number (1)
26NJ00905700
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (2)
26NJ00905700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Etienne Kenfack, APN?

The NPI number of Etienne Kenfack, APN is 1033677679. It was assigned on March 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Etienne Kenfack, APN?

Etienne Kenfack, APN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ00905700.

Where does Etienne Kenfack, APN practice?

The practice location is 191 Palisade Ave, Jersey City, NJ 07306-1112. The office can be reached at 201-656-4324 (phone) or 201-656-4019 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033677679 directly on the NPPES registry website.

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