Healthcare Provider Details

I. General information

NPI: 1063662005
Provider Name (Legal Business Name): TIONNA S FELDER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HORIZON CENTER BLVD STE 100
HAMILTON NJ
08691-1910
US

IV. Provider business mailing address

100 HORIZON CENTER BLVD STE 100
HAMILTON NJ
08691-1910
US

V. Phone/Fax

Practice location:
  • Phone: 609-228-8815
  • Fax: 609-269-0815
Mailing address:
  • Phone: 609-228-8815
  • Fax: 609-269-0815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15445700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: