Ennis, Kristen

Ennis, Kristen is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ennis, Kristen can be contacted via phone (551) 996-4078.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1915
Fax: (551) 996-4140
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00453200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00453200 New Jersey

Profile Details

NPI number 1689006272
LBN Legal business name Ennis, Kristen
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2013
Last updated Apr 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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