Active NPIIndividual providerSole proprietor

Mrs. Teresa M Conklin, FNP

Nurse Practitioner, Family in South Orange, New Jersey

NPI Number1275769176
Practice location
400 S Orange Ave, South Orange, NJ 07079-2646
Fax
—
Last updated
July 14, 2014

Teresa M Conklin is a Nurse Practitioner, Family based in South Orange, NJ. Teresa M Conklin practices in South Orange, NJ and has the professional credentials of FNP. The NPI Number for Teresa M Conklin is 1275769176 and holds a License No. 26no09584600 (NJ). The current practice location address for Teresa M Conklin is 400 S Orange Ave, South Orange, NJ 07079-2646 and can be reached out via phone at 973-761-9175.

Provider Profile Details

NPI Number
1275769176
Provider Name
Teresa M Conklin
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
400 S Orange Ave, South Orange, NJ 07079-2646
Phone Number
973-761-9175
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2009
Last Update Date
July 14, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 S Orange Ave
South Orange, NJ 07079-2646
Zip
07079-2646
Phone Number
973-761-9175
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
18 W Blackwell St
Dover, NJ 07801-3841
City
Dover
State
NJ
Zip
07801-3841

License Information

License Number
26no09584600
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 Mrs. Teresa M Conklin, FNP?

The NPI number of Mrs. Teresa M Conklin, FNP is 1275769176. It was assigned on June 5, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Teresa M Conklin, FNP?

Mrs. Teresa M Conklin, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26no09584600.

Where does Mrs. Teresa M Conklin, FNP practice?

The practice location is 400 S Orange Ave, South Orange, NJ 07079-2646. The office can be reached at 973-761-9175 (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 1275769176 directly on the NPPES registry website.

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