Individual
KEITH PEARSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
765 ROUTE 70 E BLDG A-100, MARLTON, NJ 08053-2341
(856) 787-4800
Mailing address
765 ROUTE 70 E BLDG A-100, MARLTON, NJ 08053-2341
(856) 787-4800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NRI19615500
NJ
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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