Provider Demographics
NPI:1700240397
Name:LYNCH, VERONIQUE MONIQUE (DNP, AGACNP-BC, RN)
Entity Type:Individual
Prefix:DR
First Name:VERONIQUE
Middle Name:MONIQUE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC, RN
Other - Prefix:DR
Other - First Name:VERONIQUE
Other - Middle Name:MONIQUE
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:963 TOMS RIVER RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5239
Mailing Address - Country:US
Mailing Address - Phone:201-892-4804
Mailing Address - Fax:
Practice Address - Street 1:963 TOMS RIVER RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-5239
Practice Address - Country:US
Practice Address - Phone:201-892-4804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00631300363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1700240397OtherNPI