Healthcare Provider Details

I. General information

NPI: 1093413239
Provider Name (Legal Business Name): FERN HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 MOUNT KEMBLE AVE
MORRISTOWN NJ
07960-6662
US

IV. Provider business mailing address

360 MOUNT KEMBLE AVE
MORRISTOWN NJ
07960-6662
US

V. Phone/Fax

Practice location:
  • Phone: 888-522-2488
  • Fax:
Mailing address:
  • Phone: 888-522-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MR. BRADLEY LAWSON
Title or Position: CEO
Credential:
Phone: 937-344-2628