Healthcare Provider Details

I. General information

NPI: 1841169596
Provider Name (Legal Business Name): ANNABELLE SUNG-HYE JEONG BOCELLI FNP-C, WCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 HIGH ST
MOUNT HOLLY NJ
08060-1052
US

IV. Provider business mailing address

508 HIGH ST
MOUNT HOLLY NJ
08060-1052
US

V. Phone/Fax

Practice location:
  • Phone: 609-261-8963
  • Fax:
Mailing address:
  • Phone: 609-261-8963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15478500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: