Healthcare Provider Details

I. General information

NPI: 1881455699
Provider Name (Legal Business Name): HAPPINESS ILECHUKWU PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 US HIGHWAY 22 E STE 205E
UNION NJ
07083-3411
US

IV. Provider business mailing address

1620 US HIGHWAY 22 E STE 205E
UNION NJ
07083-3411
US

V. Phone/Fax

Practice location:
  • Phone: 908-743-8309
  • Fax: 949-785-9348
Mailing address:
  • Phone: 908-743-8309
  • Fax: 908-667-3884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ14963500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: