Organization
MERCIFUL MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYEESHA ADOLPHUS CRNP (OWNER)
(484) 429-4732
Entity
Organization
Contact information
Practice address
1 EVES DR STE 111, MARLTON, NJ 08053-3125
(484) 429-4732
Mailing address
2230 ROUTE 70 W STE 2-1204, CHERRY HILL, NJ 08002-3338
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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