Provider Demographics
NPI:1669594602
Name:PENDERS, KERRI P (DNP)
Entity type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:P
Last Name:PENDERS
Suffix:
Gender:F
Credentials:DNP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 WHITEHORSE MERCERVILLE RD STE 219
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3835
Mailing Address - Country:US
Mailing Address - Phone:609-584-5150
Mailing Address - Fax:609-584-5144
Practice Address - Street 1:1401 WHITEHORSE-MERCERVILLE ROAD
Practice Address - Street 2:SUITE 219
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3834
Practice Address - Country:US
Practice Address - Phone:609-584-5150
Practice Address - Fax:609-584-5144
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00067900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health