Individual
MS. TONNESHA KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1676 N OLDEN AVE BLDG 1, EWING, NJ 08638-3210
(180) 093-1802
(609) 631-5130
Mailing address
PO BOX 33113, TRENTON, NJ 08629-3113
(800) 931-8026
(609) 631-5130
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01067200
NJ
Other
Enumeration date
12/22/2019
Last updated
07/17/2023
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