Individual
SAMANTHA CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641-5312
(866) 377-2778
(609) 754-9249
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(866) 377-2778
(609) 754-9249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95097433
CA
363LF0000X
Family Nurse Practitioner
26NJ15192000
NJ
363LF0000X
Family Nurse Practitioner
Primary
95018825
CA
Other
Enumeration date
11/10/2019
Last updated
10/10/2025
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