Individual
CHANEL LEE DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 BRACE RD STE C1, CHERRY HILL, NJ 08034-2600
(856) 428-4100
(856) 428-5748
Mailing address
548 MARION ST, BOUND BROOK, NJ 08805-1211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19400300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01452000
NJ
Other
Enumeration date
04/26/2023
Last updated
01/21/2025
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