Khalidah Plummer, RN
Registered Nurse, Addiction (Substance Use Disorder) in Newark, New Jersey
1952114167- Practice location
- 1091-1093 Broad Street, Newark, NJ 07114
- Phone
- 973-623-0600
- Fax
- —
- Last updated
- January 30, 2025
Khalidah Plummer is a Registered Nurse, Addiction (Substance Use Disorder) based in Newark, NJ. Khalidah Plummer practices in Newark, NJ and has the professional credentials of RN. The NPI Number for Khalidah Plummer is 1952114167 and holds a License No. 4346161882 (NJ). The current practice location address for Khalidah Plummer is 1091-1093 Broad Street, Newark, NJ 07114 and can be reached out via phone at 973-623-0600.
Provider Profile Details
- NPI Number
- 1952114167
- Provider Name
- Khalidah Plummer
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1091-1093 Broad Street, Newark, NJ 07114
- Phone Number
- 973-623-0600
- Primary Taxonomy
- Registered Nurse, Addiction (Substance Use Disorder) · 163WA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 30, 2025
- Last Update Date
- January 30, 2025
- Certification Date
- January 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1091-1093 Broad Street
Newark, NJ 07114 - City
- Newark
- State
- New Jersey
- Zip
- 07114
- Phone Number
- 973-623-0600
Provider Business Mailing Address Details
- Address
- 1091-1093 Broad Street
Newark, NJ 07114 - City
- Newark
- State
- NJ
- Zip
- 07114
License Information
- License Number
- 4346161882
- License State
- NJ
- Taxonomy
- Registered Nurse, Addiction (Substance Use Disorder) · 163WA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Khalidah Plummer, RN?
The NPI number of Khalidah Plummer, RN is 1952114167. It was assigned on January 30, 2025 and is currently active in the NPPES registry.
What is the specialty of Khalidah Plummer, RN?
Khalidah Plummer, RN is registered under the primary taxonomy Registered Nurse, Addiction (Substance Use Disorder) (code 163WA0400X), licensed in NJ under license number 4346161882.
Where does Khalidah Plummer, RN practice?
The practice location is 1091-1093 Broad Street, Newark, NJ 07114. The office can be reached at 973-623-0600 (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 1952114167 directly on the NPPES registry website.