Healthcare Provider Details

I. General information

NPI: 1427943885
Provider Name (Legal Business Name): NOURA CHEDID FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 MONROE ST
PASSAIC NJ
07055-4114
US

IV. Provider business mailing address

PO BOX 12
LITTLE FALLS NJ
07424-0012
US

V. Phone/Fax

Practice location:
  • Phone: 973-777-3222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15330700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: