Healthcare Provider Details

I. General information

NPI: 1992594360
Provider Name (Legal Business Name): RACHEL ELIZABETH KORDON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 FRANKLIN CORNER RD STE 214
LAWRENCE NJ
08648-2526
US

IV. Provider business mailing address

123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE NJ
08648-2526
US

V. Phone/Fax

Practice location:
  • Phone: 609-537-7200
  • Fax:
Mailing address:
  • Phone: 609-537-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15273200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NR20122000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: