Provider Demographics
NPI:1063955094
Name:YEBOAH-NORMENT, KAREN A (MSN RN APN-C)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:YEBOAH-NORMENT
Suffix:
Gender:F
Credentials:MSN RN APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3378
Mailing Address - Country:US
Mailing Address - Phone:855-765-6399
Mailing Address - Fax:
Practice Address - Street 1:1130 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3378
Practice Address - Country:US
Practice Address - Phone:856-291-9851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ006880002084P0800X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily