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NPI Code Detail

MEDICARE: CHENEEN AUSTIN

MEDICARE: CHENEEN AUSTIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse26NR13760400NJ
2363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00852900NJ

General Provider Information

NPI Number : 1689171555
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHENEEN AUSTIN
Provider Business Mailing Address
First Line : 6550 DELILAH RD STE 301
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-5102
Country : US
Telephone Number : 609-272-8580
Fax Number : 609-645-7343
Provider Business Practice Location Address
First Line : 120 S WHITE HORSE PIKE
Second Line :
City : HAMMONTON
State : NJ
Zip : 08037-1804
Country : US
Telephone Number : 609-561-7911
Fax Number : 609-645-7343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2018
Last Update Date : 01/20/2026

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Directions to “ CHENEEN AUSTIN ” Practice Location

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