Healthcare Provider Details

I. General information

NPI: 1356165229
Provider Name (Legal Business Name): TENE NANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2279 HIGHWAY 33 STE 505
HAMILTON NJ
08690-1750
US

IV. Provider business mailing address

2279 HIGHWAY 33 STE 505
HAMILTON NJ
08690-1750
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-1050
  • Fax: 609-890-0950
Mailing address:
  • Phone: 609-890-1050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15193100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: