Peasley, Debra J

Peasley, Debra J is an individual health care provider with primary practice located at 2 White Horse Pike , Haddon Heights NJ 08035-1294. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Peasley, Debra J can be contacted via phone (856) 310-0042.

Contact Information

Primary practice address
2 White Horse Pike Haddon Heights NJ 08035-1294
Phone: (856) 310-0042
Fax: (856) 310-0092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 26NJ00043600 New Jersey

Profile Details

NPI number 1033291356
LBN Legal business name Peasley, Debra J
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 21st, 2010 - about 14 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1033291356 NPPES
New Jersey MEDICAID 9115005

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