Active NPIIndividual provider

Lacey Liles, MSN, APRN, FNP-BC

Nurse Practitioner, Family in Woodbury, New Jersey

NPI Number1063248326
Practice location
75 W Red Bank Ave, Woodbury, NJ 08096-1694
Fax
—
Last updated
September 12, 2024

Lacey Liles is a Nurse Practitioner, Family based in Woodbury, NJ. Lacey Liles practices in Woodbury, NJ and has the professional credentials of MSN, APRN, FNP-BC. The NPI Number for Lacey Liles is 1063248326 and holds a License No. 26NJ15145700 (NJ). The current practice location address for Lacey Liles is 75 W Red Bank Ave, Woodbury, NJ 08096-1694 and can be reached out via phone at 856-451-4700.

Provider Profile Details

NPI Number
1063248326
Provider Name
Lacey Liles
Credential
MSN, APRN, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
75 W Red Bank Ave, Woodbury, NJ 08096-1694
Phone Number
856-451-4700
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2024
Last Update Date
September 12, 2024
Certification Date
August 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 W Red Bank Ave
Woodbury, NJ 08096-1694
Zip
08096-1694
Phone Number
856-451-4700
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
17 Burnett Ave
Mays Landing, NJ 08330-4212
City
Mays Landing
State
NJ
Zip
08330-4212
Phone Number
727-460-7746

License Information

License Number
26NJ15145700
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Lacey Liles, MSN, APRN, FNP-BC?

The NPI number of Lacey Liles, MSN, APRN, FNP-BC is 1063248326. It was assigned on September 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Lacey Liles, MSN, APRN, FNP-BC?

Lacey Liles, MSN, APRN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15145700.

Where does Lacey Liles, MSN, APRN, FNP-BC practice?

The practice location is 75 W Red Bank Ave, Woodbury, NJ 08096-1694. The office can be reached at 856-451-4700 (phone).

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 1063248326 directly on the NPPES registry website.

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