Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HENRIETTA BANNERMAN
Active Sole ProprietorHENRIETTA BANNERMAN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in HACKENSACK, New Jersey. NPI 1477974095 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · HACKENSACK, NJ
Registration Details
- NPI Number
- 1477974095
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2013 (12.590081115679 yrs)
- Last Updated
- Jul 10, 2025
- Licenses
-
678130 (NY)26NR20490500 (NJ)405453 (NY)26NJ14928000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 UNIVERSITY PLZHACKENSACK, NJ, 076016202Browse NJ providers · Browse ZIP 07601
- Phone
- 2122031773
- Fax
- 6466654427
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in HACKENSACK, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. VANESSA GOURDINE | APN-C, PSYD | 1205936093 |
| MRS. VALSAMMA JOY | MSN, NP | 1871815241 |
| RITA P ITONDO | NP-C | 1649530403 |
| ALTA MANESS | NP | 1639514649 |
| SUN-JUNG CHOI | PMHNP-BC | 1780091660 |
| MS. KELLY T SCOTT | APN | 1760886527 |
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.