Healthcare Provider Details

I. General information

NPI: 1437520319
Provider Name (Legal Business Name): STEPHANIE BURNS DNP, APN, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE GERACE DNP, APN, AGPCNP-BC

II. Dates (important events)

Enumeration Date: 10/17/2015
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CENTENNIAL BLVD BLDG 2
VOORHEES NJ
08043
US

IV. Provider business mailing address

1 FEDERAL ST STE SW200
CAMDEN NJ
08103-1155
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-6770
  • Fax:
Mailing address:
  • Phone: 856-356-4924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NJ00845000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: