Healthcare Provider Details

I. General information

NPI: 1255194395
Provider Name (Legal Business Name): JENNIFER LEAH READY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 HADDONFIELD BERLIN RD
VOORHEES NJ
08043-3514
US

IV. Provider business mailing address

602 W. CUTHBERT BLVD UNIT 26, SUITE A
WESTMONT NJ
08108
US

V. Phone/Fax

Practice location:
  • Phone: 856-435-7007
  • Fax:
Mailing address:
  • Phone: 856-946-5180
  • Fax: 856-946-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR16186700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15041100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: