Angela Davis, RN, MSN, Pmhnp-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ANGELA DAVIS, RN, MSN, PMHNP-BC

Practice address

10 Sunflower Cir
Lumberton, NJ 08048-4862

Phone

(856) 304-1400

NPI assigned

Nov 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Angela Davis, PMHNP-BCNPI 1740523919

Title

Nurse Practitioner

Phone

(856) 304-1400

Specialties & licenses 1

Addresses

Other names 1

• Angela Davis, RN, MSN, PMHNP-BC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Davis, NP

  • Adult Health Nurse Practitioner
  • Marlton, NJ
  • NPI 1740523919
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1801553243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WHITE HORSE PIKE STE 8",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071322",
            "telephone_number": "856-304-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUNFLOWER CIR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080484862",
            "telephone_number": "856-304-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA DAVIS, RN, MSN, PMHNP-BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "856-304-1400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Davis, RN, MSN, PMHNP-BC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Lumberton, NJ
• Providers in Lumberton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.