Healthcare Provider Details

I. General information

NPI: 1356553952
Provider Name (Legal Business Name): ADRIENNE KIMBERLY CARRINGTON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2038 CARMEL ROAD
MILLVILLE NJ
08332
US

IV. Provider business mailing address

85 FAIRTON MILLVILLE RD
BRIDGETON NJ
08302-7166
US

V. Phone/Fax

Practice location:
  • Phone: 856-825-6810
  • Fax: 856-765-0931
Mailing address:
  • Phone: 856-455-7225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number26NO11133100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: