Individual
MISTI DAWN ICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(856) 547-8000
Mailing address
600 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(856) 547-8000
(856) 547-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN556888
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019492
PA
Other
Enumeration date
10/23/2018
Last updated
02/05/2026
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