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

HEATHER LYNNE PROVENCE, PMHNP

Active

HEATHER LYNNE PROVENCE, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in NEW PROVIDENCE, New Jersey. NPI 1295221612 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · NEW PROVIDENCE, NJ

Registration Details

NPI Number
1295221612
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2018 (8.0635182794142 yrs)
Last Updated
Jul 3, 2023
Licenses
F402394-1 (NY)
26NJ01289400 (NJ)

Practice Information

Address
890 MOUNTAIN AVE
BEHAVIORAL HEALTH & COGNITIVE THERAPY
NEW PROVIDENCE, NJ, 07974
Browse NJ providers · Browse ZIP 07974
Phone
9082778900
Fax
9085088919

Other Psychiatric/Mental Health Nurse Practitioner Providers in NEW PROVIDENCE, NJ

Name Credential NPI
SANDRA GOMEZ APN 1295476117
BRIENNA BENAQUISTA PMHNP 1316643984
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.