Provider Demographics
NPI:1619615978
Name:EMELE, BLESSING DELORES (MSN, APN, AGNP-C)
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:DELORES
Last Name:EMELE
Suffix:
Gender:F
Credentials:MSN, APN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-1413
Mailing Address - Country:US
Mailing Address - Phone:973-280-8422
Mailing Address - Fax:
Practice Address - Street 1:537 PAVONIA AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1803
Practice Address - Country:US
Practice Address - Phone:888-560-5995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01288200363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care