Individual
REGINA N INOKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(551) 358-7383
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(551) 358-7383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ01053800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01053800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0859516
—
NJ
Enumeration date
09/16/2020
Last updated
03/30/2023
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