Provider Demographics
NPI:1821470923
Name:SKINNER-HAMLER, JENEE P (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:JENEE
Middle Name:P
Last Name:SKINNER-HAMLER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WALT WHITMAN AVE UNIT 1022
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-8050
Mailing Address - Country:US
Mailing Address - Phone:609-241-9232
Mailing Address - Fax:609-216-7447
Practice Address - Street 1:200 WALT WHITMAN AVE UNIT 1022
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-8050
Practice Address - Country:US
Practice Address - Phone:609-241-9232
Practice Address - Fax:609-216-7447
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013678207Q00000X, 363LF0000X
NJ26NJ00582400363LF0000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ440787ZV6JOtherMEDICARE
NJ120151007002397OtherPECOS PAC ID
NJDW7930Medicare UPIN
NJP01702117Medicare PIN