Individual
MS. LINDA N OPPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
193 AVON AVE, NEWARK, NJ 07108-1907
(973) 799-0880
Mailing address
281 WINANS AVE, HILLSIDE, NJ 07205-1448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00422900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00422900
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00422900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00422900
APN LICENSURE
NJ
Enumeration date
02/27/2013
Last updated
05/15/2025
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