Individual
MRS. MELISSA MORDECAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
(609) 822-7980
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 374-1881
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00376600
NJ
363LA2100X
Acute Care Nurse Practitioner
SP01082
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314595
—
NJ
Enumeration date
04/07/2010
Last updated
04/04/2022
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