Individual
KENDRA BLACKSHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15003900
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ15003900
NJ
Other
Enumeration date
08/09/2024
Last updated
09/12/2024
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