Active NPIIndividual providerSole proprietor

Miss Recisa D Fearon, APN

Nurse Practitioner, Adult Health in Bayonne, New Jersey

NPI Number1457185654
Practice location
29 E 29TH St, Bayonne, NJ 07002-4654
Fax
—
Last updated
August 29, 2024

Recisa Dale Fearon is a Nurse Practitioner, Adult Health based in Bayonne, NJ. Recisa Dale Fearon practices in Bayonne, NJ and has the professional credentials of APN. The NPI Number for Recisa Dale Fearon is 1457185654 and holds a License No. 310202 (NY). The current practice location address for Recisa Dale Fearon is 29 E 29TH St, Bayonne, NJ 07002-4654 and can be reached out via phone at 201-858-5232.

Provider Profile Details

NPI Number
1457185654
Provider Name
Recisa Dale Fearon
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
29 E 29TH St, Bayonne, NJ 07002-4654
Phone Number
201-858-5232
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2024
Last Update Date
August 29, 2024
Certification Date
August 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 E 29TH St
Bayonne, NJ 07002-4654
Zip
07002-4654
Phone Number
201-858-5232
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
23 Arch St Apt 1
Bloomfield, NJ 07003-4606
City
Bloomfield
State
NJ
Zip
07003-4606
Phone Number
973-580-4690

License Information

License Number
310202
License State
NY
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Adult Health providers near Bayonne, NJ

View all Nurse Practitioner, Adult Health providers in Bayonne →

Frequently Asked Questions

What is the NPI number of Miss Recisa D Fearon, APN?

The NPI number of Miss Recisa D Fearon, APN is 1457185654. It was assigned on August 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Miss Recisa D Fearon, APN?

Miss Recisa D Fearon, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number 310202.

Where does Miss Recisa D Fearon, APN practice?

The practice location is 29 E 29TH St, Bayonne, NJ 07002-4654. The office can be reached at 201-858-5232 (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 1457185654 directly on the NPPES registry website.

Browse related providers