Healthcare Provider Details

I. General information

NPI: 1528505328
Provider Name (Legal Business Name): CHELSEA MARIE LEEPER AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA MARIE GRIFFIS AGACNP-BC

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2073 KLOCKNER RD
HAMILTON NJ
08690-3414
US

IV. Provider business mailing address

12 WYCOMBE WAY
PRINCETON JUNCTION NJ
08550-1224
US

V. Phone/Fax

Practice location:
  • Phone: 609-584-1212
  • Fax: 609-584-0103
Mailing address:
  • Phone: 215-802-5343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP017158
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ01003200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: