MRS. MICHELE FORTUNE (NPI# 1467957092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467957092 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE FORTUNE |
| Credential | APN |
| Practice Address |
76 S State St Vineland NJ 08360-4851 |
| Mailing Address |
191 Fairton Gouldtown Rd Bridgeton NJ 08302-7113 |
| Practice Telephone | 8562051112 |
| Mailing Telephone | 8564590193 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00812000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
76 S STATE ST |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891090510 | Excelcare Alliance, LLC | Pediatrics | 76 S State St, Vineland, NJ 08360-4851 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982117339 | Mysti Blizzard | Nurse Practitioner | 1505 W Sherman Ave Ste 101, Vineland, NJ 08360-7059 | 2017-11-08 |
| 1780132381 | Kamala Chambers | Nurse Practitioner | 1076 E. Chestnut Street, Vineland, NJ 08360-5843 | 2016-09-13 |
| 1184896003 | Jamie Lynn Slaven | Nurse Practitioner | 1669 E Landis Ave, Vineland, NJ 08361-2942 | 2008-04-01 |
| 1447276431 | Angela Theresa Marinucci | Nurse Practitioner | 1527 Forest Grove Rd, Vineland, NJ 08360-1865 | 2006-07-14 |
| 1063020162 | Jennifer Marie Raskin | Nurse Practitioner | 3403 S Delsea Dr, Vineland, NJ 08360-7449 | 2020-07-15 |
| 1609334218 | Blissa Brae Usher | Nurse Practitioner | 1505 W Sherman Ave Ste B, Vineland, NJ 08360-7059 | 2019-03-04 |
| 1366967655 | Nadine M Westrol | Nurse Practitioner | 1505 W Sherman Ave, Vineland, NJ 08360 | 2017-08-08 |
| 1043758576 | Erika Charlene Cruz | Nurse Practitioner | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2017-02-03 |
| 1528424355 | Stephanie Aucello | Nurse Practitioner | 1206 W Sherman Ave, Vineland, NJ 08360-6911 | 2016-01-08 |
| 1326418237 | Mid-atlantic Pain Specialists, LLC | Nurse Practitioner | 2466 E Chestnut Ave, Suite 2, Vineland, NJ 08361-8486 | 2015-10-05 |
| Find all providers in VINELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.