MEDICARE: SHERESE PRICE-CHAPMAN

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
1	363LF0000X	Family Nurse Practitioner	26NJ00229300	NJ

General Provider Information

NPI Number	:	1841633104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERESE PRICE-CHAPMAN

Provider Business Mailing Address
First Line	:	103 DUNLIN LN
Second Line	:
City	:	PLEASANTVILLE
State	:	NJ
Zip	:	08232-2936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 COURT HOUSE SOUTH DENNIS RD
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2150
Country	:	US
Telephone Number	:	609-465-6364
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	04/16/2013

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Directions to “ SHERESE PRICE-CHAPMAN ” Practice Location

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