Organization
KIM FALLON, APN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MARIE FALLON APN (OWNER)
(732) 281-1211
Entity
Organization
Contact information
Practice address
440 COMMONS WAY, BUILDING D, TOMS RIVER, NJ 08755-6428
(732) 281-1211
Mailing address
440 COMMONS WAY, BUILDING D, TOMS RIVER, NJ 08755-6428
(732) 281-1211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00062300
NJ
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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