Healthcare Provider Details

I. General information

NPI: 1144800418
Provider Name (Legal Business Name): GINA J WINJOBI APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 04/12/2021
Certification Date: 03/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CASS ST
TRENTON NJ
08611
US

IV. Provider business mailing address

13 DANNY CT
NORTH BRUNSWICK NJ
08902-1828
US

V. Phone/Fax

Practice location:
  • Phone: 609-292-9700
  • Fax:
Mailing address:
  • Phone: 732-803-6116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ0110200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: