Provider Demographics
NPI:1871138172
Name:TRIAD HEALTH CONSULTANTS
Entity type:Organization
Organization Name:TRIAD HEALTH CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP, APRN, FNP-BC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENEE
Authorized Official - Middle Name:P
Authorized Official - Last Name:SKINNER-HAMLER
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:609-515-4944
Mailing Address - Street 1:112 CAMELOT CIR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-4907
Mailing Address - Country:US
Mailing Address - Phone:609-515-4944
Mailing Address - Fax:609-216-7447
Practice Address - Street 1:112 CAMELOT CIR
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-4907
Practice Address - Country:US
Practice Address - Phone:609-515-4944
Practice Address - Fax:609-216-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ112OtherCASH PRACTICE