Active NPIIndividual providerSole proprietor

Johannelda J Diaz, MSN-FNP

Nurse Practitioner, Family in Ewing, New Jersey

NPI Number1457850141
Practice location
1440 Pennington RD Ste 1, Ewing, NJ 08618-2669
Fax
—
Last updated
February 7, 2018

Johannelda Jamora Diaz is a Nurse Practitioner, Family based in Ewing, NJ. Johannelda Jamora Diaz practices in Ewing, NJ and has the professional credentials of MSN-FNP. The NPI Number for Johannelda Jamora Diaz is 1457850141 and holds a License No. 26NJ00790600 (NJ). The current practice location address for Johannelda Jamora Diaz is 1440 Pennington RD Ste 1, Ewing, NJ 08618-2669 and can be reached out via phone at 609-890-1050.

Provider Profile Details

NPI Number
1457850141
Provider Name
Johannelda Jamora Diaz
Credential
MSN-FNP
Provider Entity Type
Individual
Gender
Female
Address
1440 Pennington RD Ste 1, Ewing, NJ 08618-2669
Phone Number
609-890-1050
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2018
Last Update Date
February 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1440 Pennington RD Ste 1
Ewing, NJ 08618-2669
City
Ewing
Zip
08618-2669
Phone Number
609-890-1050
Ewing, NJ 08618Get directions →

Provider Business Mailing Address Details

Address
9 Arbor Ln
Bordentown, NJ 08505-4808
City
Bordentown
State
NJ
Zip
08505-4808
Phone Number
609-491-1321

License Information

License Number
26NJ00790600
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 Johannelda J Diaz, MSN-FNP?

The NPI number of Johannelda J Diaz, MSN-FNP is 1457850141. It was assigned on February 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Johannelda J Diaz, MSN-FNP?

Johannelda J Diaz, MSN-FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00790600.

Where does Johannelda J Diaz, MSN-FNP practice?

The practice location is 1440 Pennington RD Ste 1, Ewing, NJ 08618-2669. The office can be reached at 609-890-1050 (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 1457850141 directly on the NPPES registry website.

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