Provider Demographics
NPI:1245481647
Name:HEMMER, LINDA JANE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:JANE
Last Name:HEMMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1261
Mailing Address - Country:US
Mailing Address - Phone:732-617-9797
Mailing Address - Fax:732-617-8899
Practice Address - Street 1:1123 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1261
Practice Address - Country:US
Practice Address - Phone:732-617-9797
Practice Address - Fax:732-617-8899
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00115600363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical