Healthcare Provider Details

I. General information

NPI: 1235351560
Provider Name (Legal Business Name): LINDA J. HESS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 LAKESIDE DR N
FORKED RIVER NJ
08731-2407
US

IV. Provider business mailing address

401 LAKESIDE DR N
FORKED RIVER NJ
08731-2407
US

V. Phone/Fax

Practice location:
  • Phone: 609-971-7465
  • Fax:
Mailing address:
  • Phone: 609-971-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NN05378000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: