Provider Demographics
NPI:1285308536
Name:HIERS, EDNA ALIESE (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:EDNA
Middle Name:ALIESE
Last Name:HIERS
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 DEMOTT LN UNIT 5424
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875-7021
Mailing Address - Country:US
Mailing Address - Phone:973-710-6062
Mailing Address - Fax:
Practice Address - Street 1:1 JFK BLVD APT 47D
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1782
Practice Address - Country:US
Practice Address - Phone:973-710-6062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01184700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health