MEDICARE: PRIDY NING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15513100	NJ

General Provider Information

NPI Number	:	1891646253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIDY NING

Provider Business Mailing Address
First Line	:	120 PRINCETON RD
Second Line	:
City	:	CLEMENTON
State	:	NJ
Zip	:	08021-3872
Country	:	US
Telephone Number	:	856-378-3089
Fax Number	:	185-637-8308

Provider Business Practice Location Address
First Line	:	120 PRINCETON RD
Second Line	:
City	:	CLEMENTON
State	:	NJ
Zip	:	08021-3872
Country	:	US
Telephone Number	:	856-378-3089
Fax Number	:	185-637-8308

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	03/27/2026

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Directions to “ PRIDY NING ” Practice Location

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