Healthcare Provider Details

I. General information

NPI: 1982153334
Provider Name (Legal Business Name): MARIE YOUSELINE PIERRE-FEVILIEN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIE YOUSELINE PIERRE-FEVILIEN PMHNP

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 E HALSEY RD STE 316
PARSIPPANY NJ
07054-3709
US

IV. Provider business mailing address

90 E HALSEY RD STE 316
PARSIPPANY NJ
07054-3709
US

V. Phone/Fax

Practice location:
  • Phone: 862-368-7057
  • Fax: --
Mailing address:
  • Phone: 862-368-7057
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00669500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: