Mrs. Stacyann Anderson, FNP
Nurse Practitioner, Family in East Orange, New Jersey
1215595764- Practice location
- 220 S Harrison St, East Orange, NJ 07018-1401
- Phone
- 862-438-8265
- Fax
- —
- Last updated
- January 16, 2025
Stacyann Anderson is a Nurse Practitioner, Family based in East Orange, NJ. Stacyann Anderson practices in East Orange, NJ and has the professional credentials of FNP. The NPI Number for Stacyann Anderson is 1215595764 and holds a License No. 26NJ00904600 (NJ). The current practice location address for Stacyann Anderson is 220 S Harrison St, East Orange, NJ 07018-1401 and can be reached out via phone at 862-438-8265.
Provider Profile Details
- NPI Number
- 1215595764
- Provider Name
- Stacyann Anderson
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 220 S Harrison St, East Orange, NJ 07018-1401
- Phone Number
- 862-438-8265
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 30, 2019
- Last Update Date
- January 16, 2025
- Certification Date
- January 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 S Harrison St
East Orange, NJ 07018-1401 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1401
- Phone Number
- 862-438-8265
Provider Business Mailing Address Details
- Address
- 786 King George RD Ste 1
Fords, NJ 08863-1981 - City
- Fords
- State
- NJ
- Zip
- 08863-1981
- Phone Number
- 973-885-4228
License Information
- License Number
- 26NJ00904600
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near East Orange, NJ
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Frequently Asked Questions
What is the NPI number of Mrs. Stacyann Anderson, FNP?
The NPI number of Mrs. Stacyann Anderson, FNP is 1215595764. It was assigned on May 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Mrs. Stacyann Anderson, FNP?
Mrs. Stacyann Anderson, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00904600.
Where does Mrs. Stacyann Anderson, FNP practice?
The practice location is 220 S Harrison St, East Orange, NJ 07018-1401. The office can be reached at 862-438-8265 (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 1215595764 directly on the NPPES registry website.