Healthcare Provider Details

I. General information

NPI: 1083547525
Provider Name (Legal Business Name): JOSTINA GICHANA APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SCOTCH RD FL 2
EWING NJ
08628-2529
US

IV. Provider business mailing address

6A MINNEAKONING RD
FLEMINGTON NJ
08822-5725
US

V. Phone/Fax

Practice location:
  • Phone: 908-405-3007
  • Fax:
Mailing address:
  • Phone: 973-542-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15542800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: