Provider Demographics
NPI:1235351560
Name:HESS, LINDA J (APN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:HESS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 LAKESIDE DR N
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-2407
Mailing Address - Country:US
Mailing Address - Phone:609-971-7465
Mailing Address - Fax:
Practice Address - Street 1:401 LAKESIDE DR N
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-2407
Practice Address - Country:US
Practice Address - Phone:609-971-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05378000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMH0537716OtherDEA NUMBER