| Mrs Kim Mcnichol, | |
|
3242 Route 206 Ste A2, Bordentown, NJ 08505-4517 | |
| (609) 298-4340 | |
| (609) 298-4370 |
| Full Name | Mrs Kim Mcnichol |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 3242 Route 206 Ste A2, Bordentown, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508269291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00519900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Virtua Memorial Hospital Of Burlington County | Mount holly, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kennedy Medical Group Practice, P.c. | 2860616877 | 350 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Entity Name | Kennedy Medical Group Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kim Mcnichol, 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Mrs Kim Mcnichol, 3242 Route 206 Ste A2, Bordentown, NJ 08505-4517 Ph: (609) 298-4340 |
Mrs. Gloria O Olatubosun, RN. FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Creekwood Dr, Bordentown, NJ 08505 Phone: 609-499-9723 | |
Lisa Costello, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 K Johnson Blvd N., 2nd Floor, Bordentown, NJ 08505 Phone: 609-528-8884 | |
Mary Ann Hoydal, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 Dunns Mill Rd, Bordentown, NJ 08505 Phone: 609-301-6530 | |
Mrs. Helene B Gibbons, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: West Burlington St., Bordentown, NJ 08505 Phone: 609-324-6378 | |
Mrs. Jordyn Pontoriero, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 280 Dunns Mill Rd, Bordentown, NJ 08505 Phone: 609-301-6530 | |
Mrs. Stephanie Sutphen, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 Crosswicks Rd Ste 11, Bordentown, NJ 08505 Phone: 609-298-7204 Fax: 609-298-0491 | |
Natalie Ralph-nelson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Georgetown Rd, Bordentown, NJ 08505 Phone: 732-267-1971 |