person
Heather Lynne Provence, PMHNP
Psychiatric/Mental Health Nurse Practitioner in New Providence, New Jersey
NPI 1295221612

Heather Lynne Provence is a Psychiatric/Mental Health Nurse Practitioner based in Berkeley Heights, NJ and is specialized in Psychiatric/Mental Health. Heather Lynne Provence practices in New Providence, NJ and has the professional credentials of PMHNP. The NPI Number for Heather Lynne Provence is 1295221612 and holds a License No. F402394-1 (New Jersey).

The current practice location address for Heather Lynne Provence is 890 Mountain Ave, New Providence, NJ and can be reached out via phone at 908-277-8900 and via fax at 908-508-8919.

Location: 890 Mountain Ave, New Providence, NJ, 07922-2104
person
Provider Profile Details
NPI Number
1295221612
Provider Name
Heather Lynne Provence
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
890 Mountain Ave, New Providence, NJ, 07922-2104
Phone Number
908-277-8900
Fax Number
908-508-8919
Provider Enumeration Date
07/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05265370 05 NY
institution
Provider Business Practice Location Address Details
Address
890 Mountain Ave
City
State
Zip
07974
Phone Number
908-277-8900
Fax Number
908-508-8919
person
Provider Business Mailing Address Details
Address
890 Mountain Ave
City
State
Zip
07974
Phone Number
908-277-8900
Fax Number
908-508-8919
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F402394-1 (New York)
Definition
Definition to come...
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