Healthcare Provider Details

I. General information

NPI: 1841414711
Provider Name (Legal Business Name): HELEN ACKLEY RN,APN,C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY HEALTH SERVICES PRINCETON UNIVERSITY
PRINCETON NJ
08544-0001
US

IV. Provider business mailing address

16 MERRITT LN
ROCKY HILL NJ
08553-1009
US

V. Phone/Fax

Practice location:
  • Phone: 609-258-3141
  • Fax:
Mailing address:
  • Phone: 609-921-0094
  • Fax: 609-258-1355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number26NN04758600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: