Provider Demographics
NPI:1851884456
Name:HUTSON HENDY, DIONNE (DNP, MSN-AGPCNP-BC)
Entity Type:Individual
Prefix:DR
First Name:DIONNE
Middle Name:
Last Name:HUTSON HENDY
Suffix:
Gender:F
Credentials:DNP, MSN-AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52-54 RICHELIEU TER
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1648
Mailing Address - Country:US
Mailing Address - Phone:973-393-8695
Mailing Address - Fax:
Practice Address - Street 1:362 MONROE ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4114
Practice Address - Country:US
Practice Address - Phone:973-777-3222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-08
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307111363LA2200X
NJ26NJ01439000363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health