Individual
SHIRLEY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN, FNP-BC
Contact information
Practice address
1150 DICKINSON ST, ELIZABETH, NJ 07201-2210
(908) 354-8900
(908) 354-0007
Mailing address
28 CELEBRATION LN, STATEN ISLAND, NY 10304-4615
(917) 415-3215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337495
NY
Other
Enumeration date
03/18/2015
Last updated
04/24/2023
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