Etienne Kenfack
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
191 Palisade Ave
Jersey City
, New Jersey 07306-1112
Etienne Kenfack
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
191 Palisade Ave
Jersey City
, New Jersey 07306-1112
(862) 224-0668
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About
Features
Specialties
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Etienne Kenfack
- 42 Chester Ave
- Irvington, NJ
- Zip : 07111-3142
- Phone : (862) 224-0668
Second Address
- Etienne Kenfack
- 191 Palisade Ave
- Jersey City, NJ
- Zip : 07306-1112
- Fax : (201) 656-4019
- Phone : (201) 656-4324
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00905700 | NJ |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 26NJ00905700 | NJ |
National Provider Identifier
| NPI | 1033677679 |
|---|---|
| Provider Name | Etienne Kenfack |
| First Address | Irvington, NJ 07111-3142 |
| Second Address | Jersey City, NJ 07306-1112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2019 |
| Last Update Date | 02/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.