Kennedy, Nerissa Nicole

Kennedy, Nerissa Nicole is an individual health care provider with primary practice located at 36 Newark Ave , Belleville NJ 07109-4119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kennedy, Nerissa Nicole can be contacted via phone (973) 429-2209.

Contact Information

Primary practice address
36 Newark Ave Belleville NJ 07109-4119
Phone: (973) 429-2209
Fax: (973) 429-2210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00398500 New Jersey

Profile Details

NPI number 1841640547
LBN Legal business name Kennedy, Nerissa Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Feb 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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