Individual
MICHELLE TWEEDLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01418600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR13134800
NJ BOARD OF NURSING
NJ
Enumeration date
09/23/2022
Last updated
01/13/2023
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