Individual
AMANDA JO HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
175 BELGRADE DR., KEARNY, NJ 07032
(908) 809-9130
Mailing address
175 BELGRADE DR., KEARNY, NJ 07032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00760500
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00760500
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00760500
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00760500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00760500
STATE LICENSE
NJ
Enumeration date
09/14/2017
Last updated
02/17/2026
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