Healthcare Provider Details

I. General information

NPI: 1528976396
Provider Name (Legal Business Name): VANESSA LANDIS MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL CENTER WAY
SOMERS POINT NJ
08244-2300
US

IV. Provider business mailing address

1 MONARCH CT
CAPE MAY NJ
08204-4445
US

V. Phone/Fax

Practice location:
  • Phone: 609-602-6957
  • Fax:
Mailing address:
  • Phone: 609-602-6957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15645500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: