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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PATRICIA ANTOINE-LACKISH, PMHNP

Active Sole Proprietor

Child & Adolescent Psychiatric Nurse · ASBURY, NJ

Registration Details

NPI Number
1154213395
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2025 (0.79132653502695 yrs)
Last Updated
Jul 21, 2025
Licenses
2025028608 (NJ)
2025028608 (NJ)
2025028608 (NJ)
Sole Proprietor
Yes

Practice Information

Address
238 ASBURY ANDERSON RD
ASBURY, NJ, 088021040
Browse NJ providers · Browse ZIP 08802
Phone
4845299140
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.