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Etienne Kenfack

Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care

191 Palisade Ave
Jersey City , New Jersey 07306-1112

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Etienne Kenfack

Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care

191 Palisade Ave
Jersey City , New Jersey 07306-1112

(862) 224-0668

Write a Review Save Call

Etienne Kenfack

Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care

191 Palisade Ave
Jersey City , New Jersey 07306-1112

(862) 224-0668 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Gerontology
  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

191 Palisade Ave Jersey City , New Jersey 07306-1112

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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FAQs


Where did Etienne Kenfack attend graduate school?

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Where did Etienne Kenfack do his residency?

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Where did Etienne Kenfack do his fellowship?

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Is Etienne Kenfack board certified?

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What type of doctor is Etienne Kenfack

Nurse Practitioner - Primary Care

In what state does Etienne Kenfack practice in?

New Jersey

Where is Etienne Kenfack ’s practice located?

191 Palisade Ave , Jersey City, New Jersey, 07306-1112

What is Etienne Kenfack ’s gender?

Male

Is Etienne Kenfack a sole practitioner?

No

Is Etienne Kenfack accepting new patients?

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What languages does Etienne Kenfack speak?

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Does Etienne Kenfack accept insurance?

Yes, Etienne Kenfack accepts insurance

Does Etienne Kenfack offers telemedicine?

Etienne Kenfack has not indicated if he offers telemedicine

What is Etienne Kenfack ’s professional license number?

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What is Etienne Kenfack ’s NPI number?

1033677679

Does Etienne Kenfack have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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