Provider Demographics
NPI:1801513841
Name:REID-JONES, NOVA VELANDIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:NOVA
Middle Name:VELANDIE
Last Name:REID-JONES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 MILLBURN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1941
Mailing Address - Country:US
Mailing Address - Phone:201-259-8343
Mailing Address - Fax:
Practice Address - Street 1:96 MILLBURN AVE STE 202
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1941
Practice Address - Country:US
Practice Address - Phone:201-259-8343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14662100163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse