Healthcare Provider Details

I. General information

NPI: 1871138172
Provider Name (Legal Business Name): TRIAD HEALTH CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 CAMELOT CIR
MAYS LANDING NJ
08330-4907
US

IV. Provider business mailing address

112 CAMELOT CIR
MAYS LANDING NJ
08330-4907
US

V. Phone/Fax

Practice location:
  • Phone: 609-515-4944
  • Fax: 609-216-7447
Mailing address:
  • Phone: 609-515-4944
  • Fax: 609-216-7447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JENEE P SKINNER-HAMLER
Title or Position: DNP, APRN, FNP-BC/OWNER
Credential: APN
Phone: 609-515-4944