Individual
AMANDA STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Mailing address
6 GAIL RD, HILLSBOROUGH, NJ 08844-4207
(908) 392-4475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15002000
NJ
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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