Brenda Elizabeth Ackley
Individual provider Active NPI Gerontology Registered Nurse · Vineland, NJ
NPI 1013662410 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1013662410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Registered Nurse 163WG0600X
- License
- 26NR14916400 (NJ)
- Practice address
- 524 N West Blvd
Vineland, NJ 08360-2845 - Phone
- (856) 405-4337
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR14916400 | NJ | MD | Gerontology Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 26NR14916400 | NJ | Yes |
Addresses
Primary practice location
524 N West Blvd
Vineland, NJ 08360-2845
Mailing address
524 N West Blvd
Vineland, NJ 08360-2845
Phone (856) 405-4337
Other providers in Vineland, NJ
- Accident Injury Supplies LLC
- Acenda, Inc.
- Acenda, Inc.
- Achieve Physical Therapy & Fitness, LLC
- Achiva Medical Management Corp
- George Walton Ackley
- Acme Markets Inc
- Acme Markets Inc
- Acoustical Hearing Services
- Acquire the Legacy Counseling
All providers in Vineland, NJ · Gerontology Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.