Individual
MS. JORANE BONHEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(800) 994-6242
Mailing address
741 BROADWAY, NEWARK, NJ 07104-4309
(800) 994-6242
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00638700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00638700
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00638700
NJ
Other
Enumeration date
06/08/2016
Last updated
07/29/2016
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