Individual
WHITNEY SUPERNAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 863-0006
(856) 881-7614
Mailing address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 863-0006
(856) 881-7614
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25NJ00645300
NJ
Other
Enumeration date
06/21/2016
Last updated
06/13/2017
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