Healthcare Provider Details
I. General information
NPI: 1932028370
Provider Name (Legal Business Name): HANCE BRIDGE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3742 HANCE BRIDGE RD
VINELAND NJ
08361-6857
US
IV. Provider business mailing address
3742 HANCE BRIDGE RD
VINELAND NJ
08361-6857
US
V. Phone/Fax
- Phone: 856-416-9623
- Fax: 844-749-3596
- Phone: 856-416-9623
- Fax: 844-749-3596
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YVETTE
JOHNNIE
DANCEL
Title or Position: OWNER
Credential: NP
Phone: 856-416-9623