Individual
KELSEY MEGEN HECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01371300
NJ
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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