Most Relevant Information
Provider Data
| NPI Number: | 1003662545 |
| Provider Name: | GINA NOVILUS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ15061600 |
Most Important Dates
| Enumeration Date: | 04/25/2024 |
| Last Updated: | 04/25/2024 |
Provider Practice Location
PO BOX 5953
TRENTON
NJ
086380953
Practice Location Phone/Fax
| Phone: | 6092788994 |
| Fax: |
Provider Mailing Location
PO BOX 5953
TRENTON
NJ
086380953
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |