Individual
DEBRA FENDERSON-IVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
(609) 845-3988
Mailing address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00743900
NJ
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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