Long, Denise

Long, Denise is an individual health care provider with primary practice located at 317 S Broadway , Camden NJ 08103-1209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Long, Denise can be contacted via phone (856) 365-3519.

Contact Information

Primary practice address
317 S Broadway Camden NJ 08103-1209
Fax: (856) 963-2185
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 26NN08118700 New Jersey

Profile Details

NPI number 1467684274
LBN Legal business name Long, Denise
Credentials DNP, RN, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2009
Last updated Nov 1st, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467684274 NPPES
New Jersey MEDICAID 0486353

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